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1245267251
RICKEY I TABOR
LOVINGTON, NM
NPI
1245267251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM R15408)
Enumeration Date
2006-06-26
Last Update Date
2014-04-03
Business Address
-- RICKEY I TABOR CNP
1600 NORTH MAIN
LOVINGTON, NM 88260-2813
Phone number: 575-396-3529
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Mailing Address
-- RICKEY I TABOR CNP
1600 NORTH MAIN
LOVINGTON, NM 88260-2813
Phone number: 575-396-3529
Copy
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