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1235426081
KELLY AILEEN TIBBETS
CLOVIS, NM
NPI
1235426081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-06-30
Last Update Date
2011-06-30
Business Address
-- KELLY AILEEN TIBBETS
121 TOWNSGATE PLZ
CLOVIS, NM 88101-3714
Phone number: 575-742-2620
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Mailing Address
-- KELLY AILEEN TIBBETS
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number:
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