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1609151380
TARA SHEA BULLINGTON
LAS CRUCES, NM
NPI
1609151380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
-- TARA SHEA BULLINGTON
1320 S SOLANO DR
LAS CRUCES, NM 88001-3758
Phone number: 575-522-4004
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Mailing Address
-- TARA SHEA BULLINGTON
1320 S SOLANO DR
LAS CRUCES, NM 88001-3758
Phone number: 575-522-4004
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