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1750019980
MIRIAM ACOSTA
TAOS, NM
NPI
1750019980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-08-15
Last Update Date
2023-02-13
Business Address
MIRIAM ACOSTA
105 BERTHA RD
TAOS, NM 87571-7148
Phone number: 575-758-4297
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Mailing Address
MIRIAM ACOSTA
PO BOX 1785
RANCHOS DE TAOS, NM 87557-1785
Phone number:
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