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1700417136
LAURIE DANIELLE CROCKETT
ARTESIA, NM
NPI
1700417136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 59186)
Enumeration Date
2020-02-04
Last Update Date
2021-09-24
Business Address
LAURIE DANIELLE CROCKETT APRN
702 N 13TH ST
ARTESIA, NM 88210-1166
Phone number: 575-746-3119
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Mailing Address
LAURIE DANIELLE CROCKETT APRN
702 N 13TH ST
ARTESIA, NM 88210-1199
Phone number: 575-746-3119
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