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1629458690
LOUCRETIA JOSE
CLOVIS, NM
NPI
1629458690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
-- LOUCRETIA JOSE
2700 E 7TH ST
CLOVIS, NM 88101-1708
Phone number: 575-762-3718
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Mailing Address
-- LOUCRETIA JOSE
2700 E 7TH ST
CLOVIS, NM 88101-1708
Phone number:
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