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1356374896
LYNNE NMI MIKKELSEN
LAS CRUCES, NM
NPI
1356374896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse Addiction (Substance Use Disorder)
(Licence: NM R16972)
Enumeration Date
2006-07-08
Last Update Date
2015-10-21
Business Address
MISS LYNNE NMI MIKKELSEN R.N.
100 W, GRIGGS AVE
LAS CRUCES, NM 88001
Phone number: 575-647-2892
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Mailing Address
MISS LYNNE NMI MIKKELSEN R.N.
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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