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1255600623
KURT LAURENZ JOHNSON
RIO RANCHO, NM
NPI
1255600623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-07771)
Enumeration Date
2011-12-14
Last Update Date
2012-02-28
Business Address
-- KURT LAURENZ JOHNSON LISW
184 UNSER BLVD NE
RIO RANCHO, NM 87124-4045
Phone number: 505-896-0928
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Mailing Address
-- KURT LAURENZ JOHNSON LISW
184 UNSER BLVD NE
RIO RANCHO, NM 87124-4045
Phone number: 505-818-8760
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