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1952659658
CORKY ST. JAMES
ALBUQUERQUE, NM
NPI
1952659658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 3888)
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
-- CORKY ST. JAMES LADAC
3150 CARLISLE BLVD NE 22
ALBUQUERQUE, NM 87110-1678
Phone number: 505-830-6030
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Mailing Address
-- CORKY ST. JAMES LADAC
3150 CARLISLE BLVD. N.E. 22
ALBUQUERQUE, NM 87110-1679
Phone number: 505-830-6030
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