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1174020259
CHENNELLE THOMAS
LAS CRUCES, NM
NPI
1174020259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM MD20240035)
Enumeration Date
2018-04-06
Last Update Date
2024-01-31
Business Address
CHENNELLE THOMAS MD
4401 E LOHMAN AVE
LAS CRUCES, NM 88011-8267
Phone number: 575-532-9077
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Mailing Address
CHENNELLE THOMAS MD
4401 E LOHMAN AVE
LAS CRUCES, NM 88011-8267
Phone number: 575-532-9077
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