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1780773895
LORETTA BIFULCO
ESPANOLA, NM
NPI
1780773895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0090521)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- LORETTA BIFULCO
904 FAIRVIEW DR. SUITE A
ESPANOLA, NM 87532
Phone number: 505-747-1991
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Mailing Address
-- LORETTA BIFULCO
314 DON FERNANDO ST PO DRAWER KK
TAOS, NM 87571
Phone number: 505-751-7037
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