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1659872828
MICHAEL DAVIS
ALBUQUERQUE, NM
NPI
1659872828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0175921)
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
MICHAEL DAVIS
1528 5 PTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-6919
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Mailing Address
MICHAEL DAVIS
1528 5 PTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-6919
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