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1811105380
DON ISAAC BEAUCAGE
ALBUQUERQUE, NM
NPI
1811105380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 3502)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. DON ISAAC BEAUCAGE LADAC #3502
9900 STOUGHTON PLACE NW
ALBUQUERQUE, NM 87193
Phone number: 505-898-2601
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Mailing Address
Mr. DON ISAAC BEAUCAGE LADAC #3502
P.O. BOX 67349
ALBUQUERQUE, NM 87193
Phone number: 505-898-2601
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