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1245695154
EDWARD TEAGUE
DEMING, NM
NPI
1245695154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
Mr. EDWARD TEAGUE
901 W HICKORY ST
DEMING, NM 88030-4046
Phone number: 575-546-2174
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Mailing Address
Mr. EDWARD TEAGUE
901 W HICKORY ST
DEMING, NM 88030-4046
Phone number: 575-546-2174
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