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1790180743
LIFESPAN WELLNESS LLC
ALBUQUERQUE, NM
NPI
1790180743
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Entity Type
Organization
Authorized Contact
ERIKA K JOHNSON-JIMENEZ
Psychologist
505-386-0063
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NM 4880277)
Enumeration Date
2014-11-01
Last Update Date
2022-07-21
Business Address
LIFESPAN WELLNESS LLC
8200 MOUNTAIN RD NE STE 101
ALBUQUERQUE, NM 87110-7835
Phone number: 505-385-0161
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Mailing Address
LIFESPAN WELLNESS LLC
8200 MOUNTAIN RD NE STE 101
ALBUQUERQUE, NM 87110-7835
Phone number: 505-385-0161
Copy
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