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1134420276
NICOLE LEWIS
RIO RANCHO, NM
NPI
1134420276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-11-05
Last Update Date
2015-06-25
Business Address
-- NICOLE LEWIS BMS AND CSW
541 QUANTUM RD NE
RIO RANCHO, NM 87124-4502
Phone number: 505-994-9178
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Mailing Address
-- NICOLE LEWIS BMS AND CSW
2551 COORS BLVD NW
ALBUQUERQUE, NM 87120-1213
Phone number: 505-471-5006
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