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1932724416
MATTHEW LUCERO
RATON, NM
NPI
1932724416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
MATTHEW LUCERO
1269 S 2ND ST
RATON, NM 87740-2234
Phone number: 575-733-0003
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Mailing Address
MATTHEW LUCERO
PO BOX 94508
ALBUQUERQUE, NM 87199-4508
Phone number:
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