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1073942934
MONICA BANUELOS
CLOVIS, NM
NPI
1073942934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NM T-0161201)
Enumeration Date
2013-11-01
Last Update Date
2013-11-01
Business Address
-- MONICA BANUELOS
1100 W 21ST ST
CLOVIS, NM 88101-4151
Phone number: 575-769-2345
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Mailing Address
-- MONICA BANUELOS
1100 W 21ST ST
CLOVIS, NM 88101-4151
Phone number: 575-769-2345
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