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1558370122
MICHAEL OLLOM
BERNALILLO, NM
NPI
1558370122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NM LISW - I-05823)
Enumeration Date
2006-08-05
Last Update Date
2008-05-02
Business Address
MICHAEL OLLOM LISW
872 S CAMINO DEL PUEBLO
BERNALILLO, NM 87004-5927
Phone number: 505-867-2383
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Mailing Address
MICHAEL OLLOM LISW
55 EL CEDRO RD
TIJERAS, NM 87059-7429
Phone number: 505-565-1619
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