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1790143519
JESSICA RISINGER
RIO RANCHO, NM
NPI
1790143519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0156941)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- JESSICA RISINGER LSAA
557 VANCOUVER RD SE APT B
RIO RANCHO, NM 87124-3855
Phone number: 505-301-2735
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Mailing Address
-- JESSICA RISINGER LSAA
557 VANCOUVER RD SE APT B
RIO RANCHO, NM 87124-3855
Phone number: 505-301-2735
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