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1124453022
JASON WILLIAM HAVILAND
HOBBS, NM
NPI
1124453022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-09-10
Last Update Date
2013-09-10
Business Address
JASON WILLIAM HAVILAND
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
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Mailing Address
JASON WILLIAM HAVILAND
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
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