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1851675417
JANET R THELEN
FARMINGTON, NM
NPI
1851675417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM CNP-01851)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
-- JANET R THELEN NP
555 S SCHWARTZ AVE
FARMINGTON, NM 87401-5955
Phone number: 505-609-6680
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Mailing Address
-- JANET R THELEN NP
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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