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1598391153
ELISON ALLEN
FARMINGTON, NM
NPI
1598391153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-16
Last Update Date
2020-03-16
Business Address
ELISON ALLEN
807 W APACHE ST
FARMINGTON, NM 87401-5527
Phone number: 505-325-5358
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Mailing Address
ELISON ALLEN
807 W APACHE ST
FARMINGTON, NM 87401-5527
Phone number: 505-325-5358
Copy
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