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1124755756
CORNELIUS R MACKEY
RIO RANCHO, NM
NPI
1124755756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2022-08-03
Last Update Date
2022-08-05
Business Address
CORNELIUS R MACKEY
4706 LEON GRANDE AVE SE
RIO RANCHO, NM 87124-1303
Phone number: 505-934-4431
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Mailing Address
CORNELIUS R MACKEY
202 11TH AVE NW
RIO RANCHO, NM 87144-4164
Phone number: 505-934-4431
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