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1902091093
JAN LOEB
ALBUQUERQUE, NM
NPI
1902091093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM X-05935)
Enumeration Date
2007-09-11
Last Update Date
2008-09-09
Business Address
-- JAN LOEB LMSW (Provisional)
540 CHAMA ST NE
ALBUQUERQUE, NM 87108-3594
Phone number: 505-265-0753
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Mailing Address
-- JAN LOEB LMSW (Provisional)
7027 MONTGOMERY BLVD NE STE F
ALBUQUERQUE, NM 87109-1529
Phone number: 505-880-0100
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