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1508452921
SALLY SMITH NP, LLC
SANTA FE, NM
NPI
1508452921
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Entity Type
Organization
Authorized Contact
SALLY ANNE SMITH
Nurse Practitioner
505-570-7858
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-12-19
Last Update Date
2020-12-19
Business Address
SALLY SMITH NP, LLC
1640 OLD PECOS TRL STE E&F
SANTA FE, NM 87505-4776
Phone number: 505-310-6974
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Mailing Address
SALLY SMITH NP, LLC
96 LOS ALTOS DE CICUYE
PECOS, NM 87552-2555
Phone number: 505-310-6974
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