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1477900223
RANDY BLACKMER
LAS CRUCES, NM
NPI
1477900223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: TX 557317)
Enumeration Date
2016-05-23
Last Update Date
2016-05-23
Business Address
-- RANDY BLACKMER RN
105 W GRIGGS AVE
LAS CRUCES, NM 88001-1235
Phone number: 575-647-2800
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Mailing Address
-- RANDY BLACKMER RN
385 CALLE DE ALEGRA BLDG A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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