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1417622945
PRISCILA CARRASCO
LOVINGTON, NM
NPI
1417622945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM OTA3608)
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
PRISCILA CARRASCO
1000 S 1ST ST
LOVINGTON, NM 88260-4829
Phone number: 575-739-2670
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Mailing Address
PRISCILA CARRASCO
813 W GORE AVE
LOVINGTON, NM 88260-2619
Phone number: 575-631-8464
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