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1710611306
JAMES INGRAHAM STAKE
SANTA FE, NM
NPI
1710611306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM CTB-2022-0148)
Enumeration Date
2022-07-11
Last Update Date
2022-07-17
Business Address
JAMES INGRAHAM STAKE MA, Phil
123 MESA VERDE ST
SANTA FE, NM 87501-1729
Phone number: 505-490-6125
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Mailing Address
JAMES INGRAHAM STAKE MA, Phil
123 MESA VERDE ST
SANTA FE, NM 87501-1729
Phone number:
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