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1891113049
JENNIFER REDD
ESPANOLA, NM
NPI
1891113049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2017-0668)
Enumeration Date
2014-04-04
Last Update Date
2018-04-18
Business Address
JENNIFER REDD MD
400 STATE ROAD 30
ESPANOLA, NM 87532-8208
Phone number: 505-753-9421
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Mailing Address
JENNIFER REDD MD
400 STATE ROAD 30
ESPANOLA, NM 87532-8208
Phone number: 505-753-9421
Copy
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