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Organization

CORNERSTONE CASE MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORIESSA I RANDLE (CO-OWNER)
(505) 416-1613
Entity
Organization

Contact information

Practice address
115 CORNELL DRIVE SE #4614, ALBUQUERQUE, NM 87196-4614
(505) 417-1613
(505) 501-8458
Mailing address
PO BOX 4614, ALBUQUERQUE, NM 87196-4614
(505) 417-1613
(505) 501-8458

Taxonomy

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

Other

Enumeration date
08/04/2023
Last updated
08/04/2023
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