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1588957179
LISA DINENNO
FARMINGTON, NM
NPI
1588957179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM CNP-01747)
Enumeration Date
2011-05-16
Last Update Date
2011-07-29
Business Address
-- LISA DINENNO CNP
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-325-0238
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Mailing Address
-- LISA DINENNO CNP
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-325-0238
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