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1790279263
NICHOLE R MARES
ANTHONY, NM
NPI
1790279263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NM X-10520)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
NICHOLE R MARES LMSW
785 ANTHONY DRIVE
ANTHONY, NM 88021
Phone number: 575-882-5100
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Mailing Address
NICHOLE R MARES LMSW
PO BOX 2671
ANTHONY, NM 88021-2671
Phone number: 575-882-5100
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