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1124340500
MICHAEL MELENDEZ
BERINO, NM
NPI
1124340500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-02-25
Last Update Date
2010-02-25
Business Address
-- MICHAEL MELENDEZ
101 E JOY RD
BERINO, NM 88024
Phone number: 575-882-6100
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Mailing Address
-- MICHAEL MELENDEZ
PO BOX 176
BERINO, NM 88024-0176
Phone number: 915-549-5678
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