Individual
DEBORAH JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W ALAMEDA ST, APT A8, SANTA FE, NM 87507-9430
(505) 690-3853
Mailing address
2300 W ALAMEDA ST, APT A8, SANTA FE, NM 87507-9430
(505) 690-3853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0065502
NM
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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