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1043055684
JACQUELINE RAY
SANTO DOMINGO PUEBLO, NM
NPI
1043055684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NM S1-1567)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
JACQUELINE RAY
85 WEST HWY 22
SANTO DOMINGO PUEBLO, NM 87052
Phone number: 505-465-3060
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Mailing Address
JACQUELINE RAY
PO BOX 340
SANTO DOMINGO PUEBLO, NM 87052-0340
Phone number: 505-465-3060
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