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1760571913
TANJA BOLLE
SANTA FE, NM
NPI
1760571913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: NM 95284R)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Ms. TANJA BOLLE LM,CPM
968 ALTO ST
SANTA FE, NM 87501-2405
Phone number: 505-992-7104
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Mailing Address
Ms. TANJA BOLLE LM,CPM
968 ALTO ST
SANTA FE, NM 87501-2405
Phone number: 505-992-7104
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