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1841506128
COREY MACDOUGAL
ROSWELL, NM
NPI
1841506128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
-- COREY MACDOUGAL
110 E MESCALERO RD
ROSWELL, NM 88201-6542
Phone number: 575-623-1480
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Mailing Address
-- COREY MACDOUGAL
PO BOX 1978
ROSWELL, NM 88202-1978
Phone number: 575-623-1480
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