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1366031411
BRENDA ANN TANGUMA
ALBUQUERQUE, NM
NPI
1366031411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CSA0214911)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
BRENDA ANN TANGUMA LSAA
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
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Mailing Address
BRENDA ANN TANGUMA LSAA
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
Copy
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