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1396064168
JESSIE J. LUNDQUIST
BERNALILLO, NM
NPI
1396064168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: NM 336140)
Enumeration Date
2010-05-19
Last Update Date
2010-05-19
Business Address
Dr. JESSIE J. LUNDQUIST PhD
224 N CAMINO DEL PUEBLO
BERNALILLO, NM 87004-6146
Phone number: 505-404-5238
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Mailing Address
Dr. JESSIE J. LUNDQUIST PhD
17 RANCHO PRIMAVERA
SANDIA PARK, NM 87047-9621
Phone number: 970-420-4668
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