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1821246539
PHILIP GERARD PACHECO
ALBUQUERQUE, NM
NPI
1821246539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0086761)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
-- PHILIP GERARD PACHECO
218 BROADWAY BLVD SE
ALBUQUERQUE, NM 87102-3425
Phone number: 505-242-6988
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Mailing Address
-- PHILIP GERARD PACHECO
218 BROADWAY BLVD SE
ALBUQUERQUE, NM 87102-3425
Phone number: 505-242-6988
Copy
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