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1407484744
BEVERLY ANNE SHIELDS
CLOVIS, NM
NPI
1407484744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 59884)
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
BEVERLY ANNE SHIELDS NP
2000 W 21ST ST STE R1
CLOVIS, NM 88101-4098
Phone number: 575-935-0944
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Mailing Address
BEVERLY ANNE SHIELDS NP
42121 US HIGHWAY 70
PORTALES, NM 88130-9054
Phone number: 575-356-1800
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