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1306301551
ANDREA DIANE CARRILLO
CARLSBAD, NM
NPI
1306301551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 54911)
Enumeration Date
2019-02-01
Last Update Date
2019-05-13
Business Address
ANDREA DIANE CARRILLO NP
2402 W PIERCE ST STE 6A
CARLSBAD, NM 88220-3566
Phone number: 575-706-5887
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Mailing Address
ANDREA DIANE CARRILLO NP
2410 N FOWLER ST
HOBBS, NM 88240-2312
Phone number: 575-392-2040
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