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1013387901
SUSAN TAVIZON
SILVER CITY, NM
NPI
1013387901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- SUSAN TAVIZON CCSS Worker
1007 N. POPE STREET
SILVER CITY, NM 88061
Phone number: 575-388-1511
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Mailing Address
-- SUSAN TAVIZON CCSS Worker
530 DEMOSS STREET
LORDSBURG, NM 88045
Phone number: 575-542-8384
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