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1134540131
JACQUELINE DEEN
ROSWELL, NM
NPI
1134540131
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Other Name
JACKIE DEEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- JACQUELINE DEEN
102 S MISSOURI AVE
ROSWELL, NM 88203-4448
Phone number: 575-309-5570
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Mailing Address
-- JACQUELINE DEEN
102 S MISSOURI AVE
ROSWELL, NM 88203-4448
Phone number: 575-309-5570
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