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1720231376
BOBBY G CANDELARIA
FARMINGTON, NM
NPI
1720231376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0069761)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
Mr. BOBBY G CANDELARIA LADAC
205 N AUBURN AVE
FARMINGTON, NM 87401-8411
Phone number: 505-564-3733
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Mailing Address
Mr. BOBBY G CANDELARIA LADAC
803 W FIRWOOD ST
BLOOMFIELD, NM 87413-5020
Phone number: 505-632-8075
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