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Individual

GEOFFREY LAMONI SAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-09593
NM

Other

Enumeration date
07/13/2016
Last updated
07/13/2016
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