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1437557709
FERNANDO GOMEZ
SANTA TERESA, NM
NPI
1437557709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T0170901)
Enumeration Date
2014-12-18
Last Update Date
2014-12-18
Business Address
-- FERNANDO GOMEZ MA, LMHC
5305 MCNUTT RD
SANTA TERESA, NM 88008-9685
Phone number: 575-882-5100
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Mailing Address
-- FERNANDO GOMEZ MA, LMHC
5305 MCNUTT RD
SANTA TERESA, NM 88008-9685
Phone number: 575-882-5100
Copy
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