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1518748185
LYSSA M. FRADELLA
SANTA FE, NM
NPI
1518748185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 76211)
Enumeration Date
2023-10-10
Last Update Date
2023-12-20
Business Address
LYSSA M. FRADELLA CNP
4730 BECKNER RD
SANTA FE, NM 87507
Phone number: 505-989-4500
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Mailing Address
LYSSA M. FRADELLA CNP
4730 BECKNER ROAD
SANTA FE, NM 87507
Phone number: 505-989-4500
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