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1255764262
LARRY HERRERA
TAOS, NM
NPI
1255764262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0161971)
Enumeration Date
2013-08-13
Last Update Date
2018-01-26
Business Address
LARRY HERRERA LADAC
224 CRUZ ALTA ROAD
TAOS, NM 87571
Phone number: 575-737-5533
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Mailing Address
LARRY HERRERA LADAC
224 CRUZ ALTA RD
TAOS, NM 87571-5947
Phone number: 575-737-5533
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