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1275982415
JAMES BLANCO
EL PASO, TX
NPI
1275982415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 22796)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- JAMES BLANCO
6000 WELCH #15
EL PASO, TX 79903
Phone number: 915-408-7125
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Mailing Address
-- JAMES BLANCO
1955 TRAWOOD #9
EL PASO, TX 79935
Phone number: 915-408-7125
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