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1780391383
WAYNE DAVIS
SANTA FE, NM
NPI
1780391383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
WAYNE DAVIS
6 CALLE MEDICO
SANTA FE, NM 87505-4761
Phone number: 505-733-0003
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Mailing Address
WAYNE DAVIS
PO BOX 94508
ALBUQUERQUE, NM 87199-4508
Phone number: 505-733-0003
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