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1861786808
ABRAHAM BUSTILLOS
DEMING, NM
NPI
1861786808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
MR. ABRAHAM BUSTILLOS LBSW
901 W HICKORY ST
DEMING, NM 88030-4046
Phone number: 575-546-2174
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Mailing Address
MR. ABRAHAM BUSTILLOS LBSW
PO BOX 1349
SILVER CITY, NM 88062-1349
Phone number: 575-388-4497
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