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1104599166
TASHINA CHAREN NELSON
SANTO DOMINGO PUEBLO, NM
NPI
1104599166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
TASHINA CHAREN NELSON
85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052-8705
Phone number: 505-465-3060
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Mailing Address
TASHINA CHAREN NELSON
PO BOX 340
SANTO DOMINGO PUEBLO, NM 87052-0340
Phone number: 505-465-3072
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