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1730950932
CORINE J.O.M. FAIRBANKS
SANTA FE, NM
NPI
1730950932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
CORINE J.O.M. FAIRBANKS
2325 CERRILLOS RD
SANTA FE, NM 87505-3377
Phone number: 505-395-2543
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Mailing Address
CORINE J.O.M. FAIRBANKS
2325 CERRILLOS RD
SANTA FE, NM 87505-3377
Phone number: 505-395-2543
Copy
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