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1013338508
MARK KNODLE
LAS CRUCES, NM
NPI
1013338508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
MARK KNODLE
1804 AMIS AVE
LAS CRUCES, NM 88005-1652
Phone number: 575-644-2624
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Mailing Address
MARK KNODLE
1804 AMIS AVE
LAS CRUCES, NM 88005-1652
Phone number: 575-644-2624
Copy
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