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1386407344
MARYLOU ELIZABETH FUNNELL
ALBUQUERQUE, NM
NPI
1386407344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NM G-1494)
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
MARYLOU ELIZABETH FUNNELL CHW
1217 1ST ST NW
ALBUQUERQUE, NM 87102-1529
Phone number: 505-274-1763
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Mailing Address
MARYLOU ELIZABETH FUNNELL CHW
PO BOX 25445
ALBUQUERQUE, NM 87125-0445
Phone number: 505-274-1763
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