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Individual
CASEY TELFORD
Active
Individual
CASEY TELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CCM-00303
UT
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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