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1649629114
MESA VISTA WELLNESS
SANTA FE, NM
NPI
1649629114
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Entity Type
Organization
Authorized Contact
JONATHAN WALLACH
Mental Health Counselor
720-822-6795
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NM 0181511)
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
MESA VISTA WELLNESS
2019 GALISTEO ST D2
SANTA FE, NM 87505-2143
Phone number: 505-983-8225
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Mailing Address
MESA VISTA WELLNESS
2019 GALISTEO ST D2
SANTA FE, NM 87505-2143
Phone number: 505-983-8225
Copy
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