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1851586358
AVERY IMARA KENNEDY
RIO RANCHO, NM
NPI
1851586358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM 68503)
Enumeration Date
2007-09-09
Last Update Date
2024-03-22
Business Address
AVERY IMARA KENNEDY APRN, BC
2200 GRANDE BLVD SE STE B
RIO RANCHO, NM 87124-1695
Phone number: 505-218-6383
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Mailing Address
AVERY IMARA KENNEDY APRN, BC
2582 CAMINO PLATA LOOP NE
RIO RANCHO, NM 87144-5825
Phone number: 505-414-0055
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