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1255818530
LAGO CLARO, LLC
LAS CRUCES, NM
NPI
1255818530
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Entity Type
Organization
Authorized Contact
ANN M SKIRVIN
Biller/Credentialer
915-345-5489
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
LAGO CLARO, LLC
2410 S. ESPINA ST
LAS CRUCES, NM 88001
Phone number: 575-642-0650
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Mailing Address
LAGO CLARO, LLC
1925 ANITA DR
LAS CRUCES, NM 88001-2027
Phone number:
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