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1811379498
MARYANNE CHAVEZ
BELEN, NM
NPI
1811379498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP-02694)
Enumeration Date
2015-06-19
Last Update Date
2015-06-19
Business Address
-- MARYANNE CHAVEZ
120 S 9TH ST
BELEN, NM 87002-3102
Phone number: 505-861-1013
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Mailing Address
-- MARYANNE CHAVEZ
120 S 9TH ST
BELEN, NM 87002-3102
Phone number: 505-861-1013
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