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1386964013
MICHAEL ELLIS DEIERHOI
ALBUQUERQUE, NM
NPI
1386964013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-04
Last Update Date
2014-03-20
Business Address
Mr. MICHAEL ELLIS DEIERHOI CPSW
622 MANZANO ST NE
ALBUQUERQUE, NM 87110-6302
Phone number: 505-506-5261
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Mailing Address
Mr. MICHAEL ELLIS DEIERHOI CPSW
622 MANZANO ST NE
ALBUQUERQUE, NM 87110-6302
Phone number: 505-506-5261
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