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1760812853
LORA BLAZINA
ALBUQUERQUE, NM
NPI
1760812853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 3074)
Enumeration Date
2013-11-26
Last Update Date
2024-12-18
Business Address
Mrs. LORA BLAZINA LPC, MHSP
12760 SAN RAFAEL AVE NE
ALBUQUERQUE, NM 87122-1133
Phone number: 505-382-9742
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Mailing Address
Mrs. LORA BLAZINA LPC, MHSP
PO BOX 1602
TIJERAS, NM 87059-1602
Phone number: 505-382-9742
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