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1811417751
BERNIE MONTANO
GALLUP, NM
NPI
1811417751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0188211)
Enumeration Date
2017-06-21
Last Update Date
2022-07-21
Business Address
Ms. BERNIE MONTANO LSAA
216 W MALONEY AVE
GALLUP, NM 87301-5214
Phone number: 505-870-1483
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Mailing Address
Ms. BERNIE MONTANO LSAA
216 W MALONEY AVE
GALLUP, NM 87301-5214
Phone number: 505-870-1483
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