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1780993998
MIKE T PHALAN
SANTA FE, NM
NPI
1780993998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-05
Last Update Date
2010-10-05
Business Address
-- MIKE T PHALAN bs
1918 HOPEWELL ST
SANTA FE, NM 87505-3856
Phone number: 505-989-4400
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Mailing Address
-- MIKE T PHALAN bs
1918 HOPEWELL ST
SANTA FE, NM 87505-3856
Phone number: 505-989-4400
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