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1689820656
CHARMAINE DIANNA LOPEZ
ALBUQUERQUE, NM
NPI
1689820656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
101YM0800X Counselor, Mental Health
(Licence: NM 0166601)
Enumeration Date
2008-08-11
Last Update Date
2014-11-04
Business Address
Miss CHARMAINE DIANNA LOPEZ
2741 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106-2653
Phone number: 505-750-8866
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Mailing Address
Miss CHARMAINE DIANNA LOPEZ
601 LOVEJOY RD SW
ALBUQUERQUE, NM 87105-3849
Phone number: 505-440-4018
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