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1730520040
MATTHEW DEWAYNE CANDELARIA
LAS CRUCES, NM
NPI
1730520040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-07-15
Last Update Date
2014-03-28
Business Address
Mr. MATTHEW DEWAYNE CANDELARIA
880 E IDAHO AVE
LAS CRUCES, NM 88001
Phone number: 575-527-7910
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Mailing Address
Mr. MATTHEW DEWAYNE CANDELARIA
1320 S. SOLANO
LAS CRUCES, NM 88001
Phone number: 575-527-7900
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