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1033638796
XONDRIA JENNIFER SELF
CLOVIS, NM
NPI
1033638796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NM RP00008794)
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
XONDRIA JENNIFER SELF PharmD
700 E 21ST ST
CLOVIS, NM 88101-3703
Phone number: 575-762-3851
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Mailing Address
XONDRIA JENNIFER SELF PharmD
2210 JADYN LN
CLOVIS, NM 88101-1614
Phone number: 575-693-2600
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