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1720574304
LOAN PHAN
ALBUQUERQUE, NM
NPI
1720574304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0063831)
Enumeration Date
2018-07-06
Last Update Date
2018-07-17
Business Address
Dr. LOAN PHAN PhD
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108
Phone number: 505-262-2481
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Mailing Address
Dr. LOAN PHAN PhD
11 CAMINO DE LAS BRISAS
PLACITAS, NM 87043-8651
Phone number: 603-969-0424
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