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Individual

CHRIS GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
872 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5927
(505) 867-2383
(505) 867-7293
Mailing address
33 AVENIDA DE MESA VERDE, BELEN, NM 87002-6457
(505) 565-1619
(505) 565-1620

Taxonomy

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

Other

Enumeration date
12/27/2007
Last updated
05/02/2008
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