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1811295223
ROBERT JACOB ARCHULETA
SANTA FE, NM
NPI
1811295223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
-- ROBERT JACOB ARCHULETA
2325 CERRILLOS RD
SANTA FE, NM 87505-3373
Phone number: 505-438-0010
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Mailing Address
-- ROBERT JACOB ARCHULETA
2325 CERRILLOS RD
SANTA FE, NM 87505-3373
Phone number: 505-438-8488
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