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1891942942
JAMES E. FUNDARK
FARMINGTON, NM
NPI
1891942942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NM 0101791)
Enumeration Date
2008-08-20
Last Update Date
2008-08-21
Business Address
MR. JAMES E. FUNDARK LPCC
4500 WILDFLOWER DR
FARMINGTON, NM 87401-2825
Phone number: 505-325-2008
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Mailing Address
MR. JAMES E. FUNDARK LPCC
2905 YALE DR
FARMINGTON, NM 87402-4548
Phone number: 505-793-2917
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