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1528437845
JOHNNY SISNEROS
TAOS, NM
NPI
1528437845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
-- JOHNNY SISNEROS
105 PASEO DEL CANON W STE A
TAOS, NM 87571-6943
Phone number: 575-758-5857
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Mailing Address
-- JOHNNY SISNEROS
105 PASEO DEL CANON W STE A
TAOS, NM 87571-6943
Phone number: 575-758-5857
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