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1386922045
PHYLISS MAYFIELD
RATON, NM
NPI
1386922045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NM 1986)
Enumeration Date
2011-07-29
Last Update Date
2011-07-29
Business Address
PHYLISS MAYFIELD LPC
220 4TH AVE
RATON, NM 87740-2643
Phone number: 575-445-2754
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Mailing Address
PHYLISS MAYFIELD LPC
413 SIPAPU ST
TAOS, NM 87571-6489
Phone number: 575-758-5857
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