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1205253226
ANTHONY PAUL CARRILLO
LAS CRUCES, NM
NPI
1205253226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-03-27
Last Update Date
2015-02-10
Business Address
MR. ANTHONY PAUL CARRILLO RI
125 S. MAIN ST.
LAS CRUCES, NM 88001
Phone number: 575-647-2817
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Mailing Address
MR. ANTHONY PAUL CARRILLO RI
100 W GRIGGS AVE
LAS CRUCES, NM 88001-1234
Phone number: 575-647-2800
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