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1720409121
DAVID PROTEXTOR
LAS CRUCES, NM
NPI
1720409121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-01-02
Last Update Date
2014-01-02
Business Address
DAVID PROTEXTOR
334 LINDA VISTA RD
LAS CRUCES, NM 88005-2008
Phone number: 575-993-1017
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Mailing Address
DAVID PROTEXTOR
334 LINDA VISTA RD
LAS CRUCES, NM 88005-2008
Phone number: 575-993-1017
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