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1548962723
RYAN C AVERY
ALBUQUERQUE, NM
NPI
1548962723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2023-0216)
Enumeration Date
2023-03-20
Last Update Date
2023-03-21
Business Address
RYAN C AVERY LSAA
11401 MENAUL BLVD NE
ALBUQUERQUE, NM 87112-2435
Phone number: 505-526-3649
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Mailing Address
RYAN C AVERY LSAA
300 MENAUL BLVD NW STE A
ALBUQUERQUE, NM 87107-1347
Phone number: 505-525-3649
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