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1376185488
TRIQUETRA THERAPY SERVICES, LLC
BELEN, NM
NPI
1376185488
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Entity Type
Organization
Authorized Contact
DENAI FORREST
Pmhnp Bc
505-357-4385
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
TRIQUETRA THERAPY SERVICES, LLC
19478 HIGHWAY 314
BELEN, NM 87002-8223
Phone number: 505-357-4385
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Mailing Address
TRIQUETRA THERAPY SERVICES, LLC
1224 SILVA RD
BELEN, NM 87002-7563
Phone number: 505-314-4966
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