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1780818534
SUZANNE WEAVER
SANTA FE, NM
NPI
1780818534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NM 1723)
Enumeration Date
2009-05-07
Last Update Date
2009-05-07
Business Address
Mrs. SUZANNE WEAVER LMT
1503 LLANO ST STE B
SANTA FE, NM 87505-2000
Phone number: 505-660-5471
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Mailing Address
Mrs. SUZANNE WEAVER LMT
PO BOX 129
CERRILLOS, NM 87010-0129
Phone number: 505-660-5471
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