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1114344710
LISA DEROUEN
LAS CRUCES, NM
NPI
1114344710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-03-21
Last Update Date
2015-10-16
Business Address
-- LISA DEROUEN
1805 MYRTLE AVE
LAS CRUCES, NM 88001-5244
Phone number: 575-571-2058
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Mailing Address
-- LISA DEROUEN
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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