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1801316740
TERRY WATERS
ESPANOLA, NM
NPI
1801316740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP-03263)
Enumeration Date
2017-06-21
Last Update Date
2018-08-06
Business Address
TERRY WATERS CNP
2010 INDUSTRIAL PARK RD
ESPANOLA, NM 87532
Phone number: 505-753-7395
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Mailing Address
TERRY WATERS CNP
10 AVENIDA DE MOLINO
ESPANOLA, NM 87532-9865
Phone number: 505-927-7912
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