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1639907561
JAMES HUNTER LANGE
GALLUP, NM
NPI
1639907561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2023-0168)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
JAMES HUNTER LANGE LSAA
2105 HASLER VALLEY RD
GALLUP, NM 87301
Phone number: 505-481-0219
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Mailing Address
JAMES HUNTER LANGE LSAA
PO BOX 1723
GALLUP, NM 87305-1723
Phone number: 505-481-0219
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