CARL B HEACOCK

HOBBS, NM
NPI1770852816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
-- CARL B HEACOCK
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
Mailing Address
-- CARL B HEACOCK
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
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