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1992337745
OTIS HENDERSON
LAS CRUCES, NM
NPI
1992337745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
OTIS HENDERSON Case Manager
105 W GRIGGS AVE
LAS CRUCES, NM 88001-1235
Phone number: 575-647-2879
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Mailing Address
OTIS HENDERSON Case Manager
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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