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1972713899
DELBERT JOHN
SHIPROCK, NM
NPI
1972713899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 4047)
Enumeration Date
2007-05-22
Last Update Date
2019-07-12
Business Address
Mr. DELBERT JOHN LADAC
HWY 491 NORTH PINION STREET
SHIPROCK, NM 87420
Phone number: 505-368-1429
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Mailing Address
Mr. DELBERT JOHN LADAC
PO BOX 1830
SHIPROCK, NM 87420-1830
Phone number: 505-368-1429
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