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1427644376
TENASHA CORIZ
PENA BLANCA, NM
NPI
1427644376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
TENASHA CORIZ CCSS
816 HIGHWAY 22
PENA BLANCA, NM 87041-8750
Phone number: 505-983-6158
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Mailing Address
TENASHA CORIZ CCSS
PO BOX 449
TESUQUE, NM 87574-0449
Phone number: 505-983-6158
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