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1063195568
SHAILAH BEVAN
FARMINGTON, NM
NPI
1063195568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM 74569)
Enumeration Date
2023-08-10
Last Update Date
2024-12-30
Business Address
SHAILAH BEVAN PMHNP
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401-5638
Phone number: 505-327-4796
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Mailing Address
SHAILAH BEVAN PMHNP
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401-5638
Phone number: 505-327-4796
Copy
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