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1578863627
ELIZABETH MARY DERRY
ROSWELL, NM
NPI
1578863627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: NM 16156R)
Additional Taxonomies
176B00000X Midwife
(Licence: TX 99110)
Enumeration Date
2010-10-22
Last Update Date
2020-10-15
Business Address
MRS. ELIZABETH MARY DERRY CPM,LM
902 HALL DR
ROSWELL, NM 88201-1121
Phone number: 575-322-4432
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Mailing Address
MRS. ELIZABETH MARY DERRY CPM,LM
902 HALL DR
ROSWELL, NM 88201-1121
Phone number: 575-322-4432
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