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1750925178
ANITA MALLORY
RATON, NM
NPI
1750925178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
ANITA MALLORY CSW
411 S 3RD ST
RATON, NM 87740-4005
Phone number: 575-733-0003
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Mailing Address
ANITA MALLORY CSW
PO BOX 94508
ALBUQUERQUE, NM 87199-4508
Phone number: 505-273-4668
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