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1154059442
DOMINIQUE ABEYTA
TAOS, NM
NPI
1154059442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-08-12
Last Update Date
2023-02-13
Business Address
DOMINIQUE ABEYTA
105 BERTHA RD STE B
TAOS, NM 87571-7148
Phone number: 575-758-4297
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Mailing Address
DOMINIQUE ABEYTA
PO BOX 214
VADITO, NM 87579-0214
Phone number: 575-587-2801
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