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1457602336
ANNIE C VILLANUEVA
ALBUQUERQUE, NM
NPI
1457602336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0065202)
Enumeration Date
2012-10-02
Last Update Date
2012-10-02
Business Address
Ms. ANNIE C VILLANUEVA LSAA
123 MADEIRA DRIVE SE
ALBUQUERQUE, NM 87108-2963
Phone number: 505-262-1538
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Mailing Address
Ms. ANNIE C VILLANUEVA LSAA
123 MADEIRA DRIVE SE
ALBUQUERQUE, NM 87108-2963
Phone number: 505-262-1538
Copy
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