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Individual

DIANE LEE CABRAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3150 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1678
(505) 891-6900
Mailing address
3150 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1678
(505) 663-8173

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2025-0004
NM

Other

Enumeration date
01/31/2024
Last updated
05/12/2025
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