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1548791445
ROXIE MOORE
FARMINGTON, NM
NPI
1548791445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM 0178261)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
ROXIE MOORE LSAA
1313 MISSION AVE.
FARMINGTON, NM 87401
Phone number: 505-327-7218
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Mailing Address
ROXIE MOORE LSAA
PO BOX 1830
FARMINGTON, NM 87499-1830
Phone number: 505-327-7218
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