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1215265137
NICOLE MAILLIS
TAOS, NM
NPI
1215265137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: NM 09060R)
Enumeration Date
2009-12-04
Last Update Date
2009-12-04
Business Address
-- NICOLE MAILLIS L.M., CPM
5540 NDCBU
TAOS, NM 87571-6122
Phone number: 575-751-4690
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Mailing Address
-- NICOLE MAILLIS L.M., CPM
5540 NDCBU
TAOS, NM 87571-6122
Phone number: 575-751-4690
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