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Individual

PABLO E ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4848 SOUTHERN AVE SE, ALBUQUERQUE, NM 87108-3514
(505) 239-5957
Mailing address
4848 SOUTHERN AVE SE, ALBUQUERQUE, NM 87108-3514
(505) 239-5957

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CMH0204311
NM
101Y00000X
Counselor

Other

Enumeration date
06/28/2010
Last updated
01/09/2025
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