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Individual

JODI NOTAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2820 RIDGECREST DR SE, ALBUQUERQUE, NM 87108-5152
(505) 938-1060
Mailing address
2305 RENARD PL SE STE 20087107, ALBUQUERQUE, NM 87106-4258

Taxonomy

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

Other

Enumeration date
07/10/2018
Last updated
07/10/2018
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