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1588738611
WAIDE EDWARD WALKER
CLOVIS, NM
NPI
1588738611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-11-20
Last Update Date
2009-09-11
Business Address
Mr. WAIDE EDWARD WALKER BS
121 TOWNSGATE PLZ
CLOVIS, NM 88101-3714
Phone number: 575-742-2620
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Mailing Address
Mr. WAIDE EDWARD WALKER BS
1008 WEST SPRUCE
PORTALES, NM 88130
Phone number: 505-356-8175
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