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1639483597
TIM HOGAN
ALBUQUERQUE, NM
NPI
1639483597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-03
Last Update Date
2010-08-03
Business Address
-- TIM HOGAN
5301 PONDEROSA AVE NE
ALBUQUERQUE, NM 87110-1216
Phone number: 505-881-8982
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Mailing Address
-- TIM HOGAN
1764 LEE LOOP NE
RIO RANCHO, NM 87144-5472
Phone number:
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