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1538312970
BENJAMIN LOPEZ
LAS CRUCES, NM
NPI
1538312970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T0110121)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- BENJAMIN LOPEZ
118 S. MAIN ST.
LAS CRUCES, NM 88001
Phone number: 575-647-2879
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Mailing Address
-- BENJAMIN LOPEZ
100 W GRIGGS AVE
LAS CRUCES, NM 88001-1234
Phone number: 575-647-2879
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