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1255895090
AUDREY LUJAN
TAOS, NM
NPI
1255895090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NM R61659)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
AUDREY LUJAN
1090 GOAT SPRINGS ROAD
TAOS, NM 87571
Phone number: 575-758-6966
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Mailing Address
AUDREY LUJAN
P O BOX 310001-0670
PASADENA, CA 91110-0670
Phone number: 575-758-6966
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