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1073846010
LIV BASSO
SANTA FE, NM
NPI
1073846010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-09-09
Last Update Date
2009-09-09
Business Address
LIV BASSO BMS
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Phone number: 505-471-5006
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Mailing Address
LIV BASSO BMS
PO BOX 28220
SANTA FE, NM 87592
Phone number: 505-471-5006
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