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1134305881
JENNIFER BANEGAS
LAS CRUCES, NM
NPI
1134305881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: NM 324887)
Enumeration Date
2008-01-11
Last Update Date
2017-04-21
Business Address
-- JENNIFER BANEGAS
3100 OAK ST
LAS CRUCES, NM 88005-3425
Phone number: 575-323-3354
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Mailing Address
-- JENNIFER BANEGAS
1001 S DIAMOND AVE
DEMING, NM 88030-4710
Phone number: 575-546-0427
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