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1790445112
JANET FACKRELL
RIO RANCHO, NM
NPI
1790445112
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Former Name
JANET FILLMORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: NM 1235)
Enumeration Date
2021-12-27
Last Update Date
2021-12-27
Business Address
JANET FACKRELL
4100 BARBARA LOOP SE
RIO RANCHO, NM 87124-1000
Phone number: 505-702-8547
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Mailing Address
JANET FACKRELL
4100 BARBARA LOOP SE
RIO RANCHO, NM 87124-1000
Phone number: 505-702-8547
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