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1225362627
JAN PHILIP STANLEY
SANTA FE, NM
NPI
1225362627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-1927)
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
Mr. JAN PHILIP STANLEY MSSW
1 TANO ESCONDIDO
SANTA FE, NM 87506-7512
Phone number: 505-983-2277
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Mailing Address
Mr. JAN PHILIP STANLEY MSSW
#1 TANO ESCONDIDO
SANTA FE, NM 87506
Phone number: 505-983-2277
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