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Individual

PAUL DUBOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109-3155
(505) 856-0300
Mailing address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109-3155
(505) 856-0300
(505) 856-7946

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0221211
NM

Other

Enumeration date
11/12/2021
Last updated
11/12/2021
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