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1720211857
MONA LISA SANDOVAL
RATON, NM
NPI
1720211857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NM M-10129)
Enumeration Date
2009-08-24
Last Update Date
2020-01-22
Business Address
MS. MONA LISA SANDOVAL AA
101 LETTON DR
RATON, NM 87740-4366
Phone number: 575-383-2065
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Mailing Address
MS. MONA LISA SANDOVAL AA
101 LETTON DR
RATON, NM 87740-4366
Phone number: 575-383-2065
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