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1114503471
SHANE ROBERTS
LAS CRUCES, NM
NPI
1114503471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R48732)
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
SHANE ROBERTS RN
2630 DESERT DR
LAS CRUCES, NM 88001-1505
Phone number: 501-606-1701
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Mailing Address
SHANE ROBERTS RN
2630 DESERT DR
LAS CRUCES, NM 88001-1505
Phone number: 501-606-1701
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