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1528142403
YADIRA IVONNE REYES
CLOVIS, NM
NPI
1528142403
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Former Name
YADIRA IVONNE MARQUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
YADIRA IVONNE REYES
1100 W 21ST ST
CLOVIS, NM 88101
Phone number: 505-769-2345
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Mailing Address
YADIRA IVONNE REYES
621 W 5TH ST
CLOVIS, NM 88101
Phone number: 505-791-5896
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