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Individual

CHARLES J MONTOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1710 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
(505) 212-7405
Mailing address
1710 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
(505) 212-7405

Taxonomy

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

Other

Enumeration date
03/05/2019
Last updated
03/05/2019
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