MARY J MOGENSEN-LODESERTO

FARMINGTON, NM
NPI1811245814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2012-08-22
Last Update Date2012-08-22
Business Address
MRS. MARY J MOGENSEN-LODESERTO
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-325-0328
Mailing Address
MRS. MARY J MOGENSEN-LODESERTO
PO BOX 3239
FARMINGTON, NM 87499-3239
Phone number: 505-325-0328
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