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1174096945
ANTHONY CHARLES MASON
LAS CRUCES, NM
NPI
1174096945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NM 823)
Enumeration Date
2019-01-04
Last Update Date
2019-01-08
Business Address
ANTHONY CHARLES MASON Peer Support Worker
100 W GRIGGS AVE
LAS CRUCES, NM 88001-1234
Phone number: 575-647-2800
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Mailing Address
ANTHONY CHARLES MASON Peer Support Worker
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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