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1518728591
ROSA IRMA PENNINGTON
SANTA TERESA, NM
NPI
1518728591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-01-17
Last Update Date
2024-01-17
Business Address
ROSA IRMA PENNINGTON
5690 SANTA TERESITA DR STE A1
SANTA TERESA, NM 88008-9211
Phone number: 575-915-1338
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Mailing Address
ROSA IRMA PENNINGTON
PO BOX 2523
SUNLAND PARK, NM 88063-2523
Phone number: 575-915-1338
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