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1265571731
MIKE THOMAS TATTERSHALL
ROSWELL, NM
NPI
1265571731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: NM I-3505)
Enumeration Date
2007-02-05
Last Update Date
2007-07-09
Business Address
Mr. MIKE THOMAS TATTERSHALL LISW
300 N KENTUCKY AVE
ROSWELL, NM 88201-4636
Phone number: 505-627-2500
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Mailing Address
Mr. MIKE THOMAS TATTERSHALL LISW
300 N KENTUCKY AVE
ROSWELL, NM 88201-4636
Phone number: 505-627-2500
Copy
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