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1194422931
BRANDON M ORTEGA
LAS VEGAS, NM
NPI
1194422931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
BRANDON M ORTEGA
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-9549
Phone number: 505-454-5100
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Mailing Address
BRANDON M ORTEGA
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-9549
Phone number:
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