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1578619599
TOM JAMES KOSBAB
RIO RANCHO, NM
NPI
1578619599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NM M-04780)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- TOM JAMES KOSBAB LMSW
301 LOMA COLORADO ST NE
RIO RANCHO, NM 87124-6562
Phone number: 505-896-5897
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Mailing Address
-- TOM JAMES KOSBAB LMSW
4430 AVENIDA MANANA NE
ALBUQUERQUE, NM 87110-6169
Phone number: 505-265-2077
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