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1831304377
ALISA HENNING
LOS RANCHOS, NM
NPI
1831304377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: NM 746)
Enumeration Date
2007-05-10
Last Update Date
2021-10-01
Business Address
ALISA HENNING CNM
7708 4TH ST NW
LOS RANCHOS, NM 87107
Phone number: 505-924-2229
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Mailing Address
ALISA HENNING CNM
7708 4TH ST NW
LOS RANCHOS, NM 87107-6510
Phone number: 505-924-2229
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