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1285109561
WHOLE SELF RECOVERY
ESPANOLA, NM
NPI
1285109561
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Entity Type
Organization
Authorized Contact
KARTAR KHALSA
Owner
505-920-6020
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-10-12
Last Update Date
2018-10-12
Business Address
WHOLE SELF RECOVERY
509 W PUEBLO DR
ESPANOLA, NM 87532-2508
Phone number: 506-747-3368
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Mailing Address
WHOLE SELF RECOVERY
PO BOX 4621
SANTA FE, NM 87502-4621
Phone number: 505-920-6020
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