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1902131873
IDA P. LUCERO
SILVER CITY, NM
NPI
1902131873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-10-12
Last Update Date
2020-08-25
Business Address
IDA P. LUCERO B.S.
315 S. HUDSON ST STE 6
SILVER CITY, NM 88061
Phone number: 575-388-4412
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Mailing Address
IDA P. LUCERO B.S.
530 DE MOSS ST
LORDSBURG, NM 88045
Phone number: 575-542-8384
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