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1962725945
ROBERT S BURNSIDE
FARMINGTON, NM
NPI
1962725945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-05142)
Enumeration Date
2010-03-05
Last Update Date
2010-03-05
Business Address
Mr. ROBERT S BURNSIDE LISW
4800 COLLEGE BLVD SUITE 102
FARMINGTON, NM 87402-4710
Phone number: 505-326-3566
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Mailing Address
Mr. ROBERT S BURNSIDE LISW
4800 COLLEGE BLVD SUITE 102
FARMINGTON, NM 87402-4710
Phone number: 505-326-3566
Copy
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