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Case Number and Status

Case Number: I-200-16078-871304

Submitted on:

CERTIFIED

on:

Employment

From: 2016-08-15

To: 2019-08-14 (1,094 days)

Address

1515 W. Fir
Portales, NM 88130

Phone

5053593801


Attorney Summary

Location
Albuquerque, NM

Job Summary

Job Title
Physician
City and State
Portales, NM
County
Roosevelt

Soc Code
29-1062.00
Naics Code
Industry Code
621111