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1275811739
MATTHEW ALAN SHADIS
SANTA FE, NM
NPI
1275811739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-08-01
Last Update Date
2011-08-01
Business Address
Mr. MATTHEW ALAN SHADIS
2325 CERRILLOS RD
SANTA FE, NM 87505-3373
Phone number: 505-438-0010
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Mailing Address
Mr. MATTHEW ALAN SHADIS
2325 CERRILLOS ROAD
SANTA FE, NM 87505
Phone number: 505-438-8488
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