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1144910704
IVAN J CORNEJO, CSW
SANTA FE, NM
NPI
1144910704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-08
Last Update Date
2023-05-16
Business Address
IVAN J CORNEJO, CSW
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-9442
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Mailing Address
IVAN J CORNEJO, CSW
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-9442
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