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1871146464
STACEY CHAVEZ
CLOVIS, NM
NPI
1871146464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 57003)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
STACEY CHAVEZ FNP
105 REDWING
CLOVIS, NM 88101-9597
Phone number: 575-309-7237
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Mailing Address
STACEY CHAVEZ FNP
105 REDWING
CLOVIS, NM 88101-9597
Phone number: 575-309-7237
Copy
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