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Individual

TIM TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102-2367
(505) 268-0701
Mailing address
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102-2367
(505) 268-0701

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/12/2024
Last updated
11/12/2024
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