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1770365488
CATHERINE MEDINA
TAOS, NM
NPI
1770365488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NM G-011)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
CATHERINE MEDINA CCHW
1331 GUSDORF RD
TAOS, NM 87571-6282
Phone number: 575-758-3601
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Mailing Address
CATHERINE MEDINA CCHW
538 N PASEO DE ONATE
ESPANOLA, NM 87532-2618
Phone number: 505-753-7218
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