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1043982903
LAUREN MARIE MATTIACE
LAS CRUCES, NM
NPI
1043982903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 65402)
Enumeration Date
2021-09-29
Last Update Date
2021-10-02
Business Address
LAUREN MARIE MATTIACE CNP
999 W AMADOR AVE
LAS CRUCES, NM 88005-2739
Phone number: 575-527-5482
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Mailing Address
LAUREN MARIE MATTIACE CNP
2022 PINECONE WAY
LAS CRUCES, NM 88012-6006
Phone number: 575-527-5482
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