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Individual

EDWARD CALLAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10015 ROBERT LARSON, LAS CRUCES, NM 88007-9005
(575) 640-7455
Mailing address
10015 ROBERT LARSON, LAS CRUCES, NM 88007-9005
(575) 640-7455

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/02/2025
Last updated
07/17/2025
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