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1376251942
SHADE SCOTT
SANTA FE, NM
NPI
1376251942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
SHADE SCOTT
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-501-8974
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Mailing Address
SHADE SCOTT
PO BOX 28164
SANTA FE, NM 87592-8164
Phone number: 505-501-8974
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