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1053724682
JESSE ORTEGA
LOS LUNAS, NM
NPI
1053724682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-06-11
Last Update Date
2014-06-11
Business Address
-- JESSE ORTEGA
428 LOS LENTES RD SE
LOS LUNAS, NM 87031-6831
Phone number: 505-916-0632
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Mailing Address
-- JESSE ORTEGA
1713 SPENCE AVE SE
ALBUQUERQUE, NM 87106-4207
Phone number: 505-620-4746
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