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1518213461
ABRA CLARK-VAN BRUNT
SANTA FE, NM
NPI
1518213461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- ABRA CLARK-VAN BRUNT
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-5006
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Mailing Address
-- ABRA CLARK-VAN BRUNT
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number:
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