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1760732754
DANIEL LOPEZ
SANTA TERESA, NM
NPI
1760732754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0151161)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
-- DANIEL LOPEZ
5305 MCNUTT RD
SANTA TERESA, NM 88008-9685
Phone number: 575-882-5100
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Mailing Address
-- DANIEL LOPEZ
1219 BARRANCA DR
EL PASO, TX 79935-4601
Phone number: 915-779-5600
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