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1316427081
SERENA WALLER
LOS LUNAS, NM
NPI
1316427081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM 88832)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
SERENA WALLER
112 MEADOW LAKE RD
LOS LUNAS, NM 87031-9449
Phone number: 505-865-9652
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Mailing Address
SERENA WALLER
112 MEADOW LAKE RD
LOS LUNAS, NM 87031-9449
Phone number:
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