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1386160489
RAVEENA BAINS
PORTALES, NM
NPI
1386160489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-08-21
Last Update Date
2017-08-31
Business Address
RAVEENA BAINS
1500 S AVENUE K, STATION 3 SHROC
PORTALES, NM 95993
Phone number: 575-562-1011
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Mailing Address
RAVEENA BAINS
1500 S AVENUE K STATION 3 SHROC
PORTALES, NM 88130-7400
Phone number:
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