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1174953947
CAROLYN VAVRECAN
CLOVIS, NM
NPI
1174953947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F338227)
Enumeration Date
2013-11-15
Last Update Date
2024-06-13
Business Address
CAROLYN VAVRECAN FNP
1521 W 13TH ST
CLOVIS, NM 88101-5568
Phone number: 575-769-0888
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Mailing Address
CAROLYN VAVRECAN FNP
PO BOX 843
PORTALES, NM 88130-0843
Phone number: 575-359-3855
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