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1659349298
MARY ELLEN LOPEZ
SANTA FE, NM
NPI
1659349298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NM R44765)
Enumeration Date
2006-03-09
Last Update Date
2020-03-06
Business Address
MARY ELLEN LOPEZ CNP
531 HARKLE RD STE B
SANTA FE, NM 87505-4753
Phone number: 505-954-1459
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Mailing Address
MARY ELLEN LOPEZ CNP
531 HARKLE RD STE B
SANTA FE, NM 87505-4753
Phone number: 505-954-1459
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