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1821019068
PIYADASA KODITUWAKKU
ALBUQUERQUE, NM
NPI
1821019068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NM 510)
Enumeration Date
2006-07-22
Last Update Date
2008-01-11
Business Address
PIYADASA KODITUWAKKU PhD
ADDICTION AND SUBSTANCE ABUSE PROGRAMS 2450 ALAMO SE
ALBUQUERQUE, NM 87106
Phone number: 505-272-8833
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Mailing Address
PIYADASA KODITUWAKKU PhD
2450 ALAMO AVE SE MSC09 5030
ALBUQUERQUE, NM 87106-3204
Phone number: 505-272-8833
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