BEVERLY LAKE

TUCUMCARI, NM
NPI1790099117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2010-07-27
Last Update Date2010-07-27
Business Address
BEVERLY LAKE
1110 E HIGH ST
TUCUMCARI, NM 88401-2510
Phone number: 575-461-4411
Mailing Address
BEVERLY LAKE
10228 STATE HIGHWAY 104
TUCUMCARI, NM 88401-9315
Phone number: 575-461-3868
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