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1013027127
SALLY LUTRICK WATERS
RUIDOSO, NM
NPI
1013027127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM NM1316)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
DR. SALLY LUTRICK WATERS DMD
1098 MECHEM DRIVE
RUIDOSO, NM 88345
Phone number: 505-258-3388
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Mailing Address
DR. SALLY LUTRICK WATERS DMD
PO BOX 473
RUIDOSO, NM 88355-0473
Phone number: 505-258-3388
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