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1639854276
SU MIN MADDY
CLOVIS, NM
NPI
1639854276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DB-2023-0127)
Enumeration Date
2023-06-20
Last Update Date
2023-07-12
Business Address
Dr. SU MIN MADDY DMD
821 LEXINGTON RD
CLOVIS, NM 88101-4466
Phone number: 575-762-2355
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Mailing Address
Dr. SU MIN MADDY DMD
821 LEXINGTON RD
CLOVIS, NM 88101-4466
Phone number: 575-762-2355
Copy
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