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1245574136
MELISSA ANN TARAZON
FARMINGTON, NM
NPI
1245574136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0170431)
Enumeration Date
2012-11-16
Last Update Date
2023-11-01
Business Address
MELISSA ANN TARAZON LADAC
1200 W APACHE ST
FARMINGTON, NM 87401-3886
Phone number: 505-258-2763
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Mailing Address
MELISSA ANN TARAZON LADAC
1200 W APACHE ST
FARMINGTON, NM 87401-3886
Phone number: 505-258-2763
Copy
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