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1154554541
MARK A MAESTAS
CLOVIS, NM
NPI
1154554541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-09-01
Last Update Date
2015-03-17
Business Address
-- MARK A MAESTAS YouthCare Specialist
1621 SUTTER PLACE
CLOVIS, NM 88101
Phone number: 575-769-2345
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Mailing Address
-- MARK A MAESTAS YouthCare Specialist
1100 W. 21ST STREET
CLOVIS, NM 88101
Phone number: 575-769-2345
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