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1730465287
ANTONIA LUJAN
ESPANOLA, NM
NPI
1730465287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM 0130781)
Enumeration Date
2011-10-28
Last Update Date
2011-10-28
Business Address
ANTONIA LUJAN LSAA
612 N PASEO DE ONATE
ESPANOLA, NM 87532-2963
Phone number: 505-753-2203
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Mailing Address
ANTONIA LUJAN LSAA
PO BOX 1656
TAOS, NM 87571-1656
Phone number: 505-779-8832
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