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1093231821
ANDREA MATA
LAS CRUCES, NM
NPI
1093231821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NM M-08861)
Enumeration Date
2017-08-14
Last Update Date
2017-08-14
Business Address
ANDREA MATA
501 N ROADRUNNER PKWY APT 2701
LAS CRUCES, NM 88011-2033
Phone number: 575-405-2351
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Mailing Address
ANDREA MATA
501 N ROADRUNNER PKWY APT 2701
LAS CRUCES, NM 88011-2033
Phone number:
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