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1841631165
BRYANT MARIO SHEPARD
LAS CRUCES, NM
NPI
1841631165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-07-15
Last Update Date
2014-03-29
Business Address
MR. BRYANT MARIO SHEPARD
880 EAST IDAHO
LAS CRUCES, NM 88001
Phone number: 272-647-2800
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Mailing Address
MR. BRYANT MARIO SHEPARD
1320 S SOLANO
LAS CRUCES, NM 88001
Phone number: 575-527-7900
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