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Organization

M-CORE CONSTRUCTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AJ MORENO (MEMBER)
(575) 763-6553
Entity
Organization

Contact information

Practice address
1468 N MAIN ST, CLOVIS, NM 88101-4743
(575) 763-6553
(575) 763-6553
Mailing address
1468 N MAIN ST, CLOVIS, NM 88101-4743
(575) 763-6553
(575) 763-6553

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/06/2019
Last updated
12/06/2019
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