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1366192973
CHRISTINE ROSEANN IDEMUDIA
LAS CRUCES, NM
NPI
1366192973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NM 67455)
Enumeration Date
2022-03-26
Last Update Date
2023-08-15
Business Address
CHRISTINE ROSEANN IDEMUDIA APRN-CNP
1950 S SONOMA RANCH BLVD
LAS CRUCES, NM 88011-1706
Phone number: 575-525-4811
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Mailing Address
CHRISTINE ROSEANN IDEMUDIA APRN-CNP
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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