PARKER S BROADDUS

SOCORRO, NM
NPI1528360658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-11-22
Last Update Date2010-11-22
Business Address
-- PARKER S BROADDUS
1200 HIGHWAY 60
SOCORRO, NM 87801-3914
Phone number: 575-835-2444
Mailing Address
-- PARKER S BROADDUS
1200 HIGHWAY 60
SOCORRO, NM 87801-3914
Phone number: 575-835-2444
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