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1053838383
DESIREE MARIE DURRETT
PORTALES, NM
NPI
1053838383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-08-28
Last Update Date
2017-08-28
Business Address
DESIREE MARIE DURRETT
1500 S AVENUE K STATION 3, SHROC
PORTALES, NM 88130
Phone number: 575-562-2160
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Mailing Address
DESIREE MARIE DURRETT
1500 S AVENUE K STATION 3, SHROC
PORTALES, NM 88130
Phone number:
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