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1376089672
STATE OF NEW MEXICO-ALTSD
SANTA FE, NM
NPI
1376089672
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Entity Type
Organization
Authorized Contact
CARLOS L MOYA
Division Director
505-476-4577
Organization Subpart ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
STATE OF NEW MEXICO-ALTSD
2550 CERRILLOS ROAD
SANTA FE, NM 87505
Phone number: 505-476-4577
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Mailing Address
STATE OF NEW MEXICO-ALTSD
2550 CERRILLOS RD
SANTA FE, NM 87505-3260
Phone number: 505-476-4577
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