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1467722199
ELIZABETH MANGUAL
BERNALILLO, NM
NPI
1467722199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NM 01799924003)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
Mrs. ELIZABETH MANGUAL
255A S CAMINO DEL PUEBLO
BERNALILLO, NM 87004-5973
Phone number: 505-867-2356
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Mailing Address
Mrs. ELIZABETH MANGUAL
255A S CAMINO DEL PUEBLO
BERNALILLO, NM 87004-5973
Phone number: 505-867-2356
Copy
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