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1689320731
KIMMBERLY VISCAINO
PORTALES, NM
NPI
1689320731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: NM B-11042)
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
Mrs. KIMMBERLY VISCAINO LBSW, LPN
700 E. 3RD ST
PORTALES, NM 88130-6025
Phone number: 575-356-7045
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Mailing Address
Mrs. KIMMBERLY VISCAINO LBSW, LPN
700 E. 3RD ST
PORTALES, NM 88130
Phone number: 575-356-7045
Copy
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