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1144762899
LISA K AGAN
CLOVIS, NM
NPI
1144762899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-11
Last Update Date
2019-03-13
Business Address
Mr. LISA K AGAN
1100 W. 21ST
CLOVIS, NM 88101
Phone number: 575-769-2345
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Mailing Address
Mr. LISA K AGAN
1100 W. 21ST
CLOVIS, NM 88101
Phone number: 575-769-2345
Copy
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