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1447525779
SHAVON BALDERRAMA
CARLSBAD, NM
NPI
1447525779
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Former Name
SHAVON CARRASCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
-- SHAVON BALDERRAMA
302 N MAIN ST
CARLSBAD, NM 88220-5896
Phone number: 575-885-0956
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Mailing Address
-- SHAVON BALDERRAMA
914 N CANAL ST
CARLSBAD, NM 88220-5110
Phone number: 575-885-4836
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