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1255598108
KENNY D SANCHEZ
GALLUP, NM
NPI
1255598108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0066982)
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
-- KENNY D SANCHEZ L. A. D. A. C
650 VANDEN BOSCH PKWY
GALLUP, NM 87301-5508
Phone number: 505-726-6931
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Mailing Address
-- KENNY D SANCHEZ L. A. D. A. C
650 VANDEN BOSCH PKWY
GALLUP, NM 87301-5508
Phone number: 505-726-6931
Copy
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