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1225351711
LOVETA RAE BRISCOE
CLOVIS, NM
NPI
1225351711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NM RP00006251)
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
-- LOVETA RAE BRISCOE
700 E 21ST ST
CLOVIS, NM 88101-3703
Phone number: 575-762-2851
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Mailing Address
-- LOVETA RAE BRISCOE
700 E 21ST ST
CLOVIS, NM 88101-3703
Phone number: 575-762-2851
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