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1487306502
FABIAN CDEVACA
ALBUQUERQUE, NM
NPI
1487306502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-01-20
Last Update Date
2024-03-05
Business Address
FABIAN CDEVACA
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108-1802
Phone number: 505-308-8296
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Mailing Address
FABIAN CDEVACA
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108-1802
Phone number:
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