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1417685652
ZACHARY GENE PETRO
ALBUQUERQUE, NM
NPI
1417685652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2022-0086)
Enumeration Date
2022-08-14
Last Update Date
2023-02-02
Business Address
ZACHARY GENE PETRO LSAA
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
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Mailing Address
ZACHARY GENE PETRO LSAA
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
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