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1770100653
JUAN LUIS MARTINEZ
SANTA FE, NM
NPI
1770100653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CSA0200581)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
JUAN LUIS MARTINEZ LSAA
4001 OFFICE COURT DR STE 701
SANTA FE, NM 87507-4905
Phone number: 505-207-8929
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Mailing Address
JUAN LUIS MARTINEZ LSAA
4001 OFFICE COURT DR STE 701
SANTA FE, NM 87507-4905
Phone number: 505-207-8929
Copy
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