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1518675784
JAMIE MIRANDA SANDOVAL
LAS VEGAS, NM
NPI
1518675784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM CTB-2022-0707)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
JAMIE MIRANDA SANDOVAL
1214 NATIONAL AVE
LAS VEGAS, NM 87701-4033
Phone number: 505-426-8095
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Mailing Address
JAMIE MIRANDA SANDOVAL
718 CORONADO DR
LAS VEGAS, NM 87701-4906
Phone number: 505-617-1125
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