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Individual

MS. CANDY ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASE MANAGER

Contact information

Practice address
413 SIPAPU ROAD, TAPS, NM 87571
(575) 751-7552
(575) 751-7718
Mailing address
HC 74 BOX 22208, EL PRADO, NM 87529-9522
(575) 751-1307

Taxonomy

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

Other

Enumeration date
07/02/2009
Last updated
07/02/2009
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