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1104559269
LAURA IBOA
SANTA FE, NM
NPI
1104559269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM 64144)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
LAURA IBOA
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-501-8974
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Mailing Address
LAURA IBOA
PO BOX 28164
SANTA FE, NM 87592-8164
Phone number: 505-501-8974
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