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1487015186
DIXIE BINGHAM
ALBUQUERQUE, NM
NPI
1487015186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0131151)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
-- DIXIE BINGHAM LADAC
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-6919
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Mailing Address
-- DIXIE BINGHAM LADAC
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-6919
Copy
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