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1730607441
CATHERINE POWELL MIRKADYROV
PORTALES, NM
NPI
1730607441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-09-01
Last Update Date
2017-09-01
Business Address
CATHERINE POWELL MIRKADYROV
1500 S AVE K STATION 3 SHROC
PORTALES, NM 88130
Phone number: 575-562-2160
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Mailing Address
CATHERINE POWELL MIRKADYROV
1500 S AVE K STATION 3 SHROC
PORTALES, NM 88130
Phone number:
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