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1194048330
KELLY PATRICK CASSIDY
LOS LUNAS, NM
NPI
1194048330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
-- KELLY PATRICK CASSIDY
735 DON PASQUAL RD NW
LOS LUNAS, NM 87031-8493
Phone number: 505-865-3350
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Mailing Address
-- KELLY PATRICK CASSIDY
PO BOX 518
LOS LUNAS, NM 87031-0518
Phone number: 505-865-3350
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