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1801625793
EDGAR AJANY ALONSO
ALBUQUERQUE, NM
NPI
1801625793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2024-0549)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
EDGAR AJANY ALONSO BA
400 GOLD AVE SW
ALBUQUERQUE, NM 87102-3283
Phone number: 505-224-9124
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Mailing Address
EDGAR AJANY ALONSO BA
13232 SILVER PEAK PL NE
ALBUQUERQUE, NM 87111-8261
Phone number: 757-272-4149
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