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1376574079
MARY E HARRISON
TAOS, NM
NPI
1376574079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP00253)
Enumeration Date
2006-07-05
Last Update Date
2013-04-26
Business Address
-- MARY E HARRISON
330 PASEO DEL PUEBLO SUR UNIT C
TAOS, NM 87571-5219
Phone number: 505-758-1414
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Mailing Address
-- MARY E HARRISON
3600 RODEO LN STE A-1
SANTA FE, NM 87507-6400
Phone number: 505-216-3615
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