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1952015992
BAILLIE M JORTH
CLOVIS, NM
NPI
1952015992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
BAILLIE M JORTH
1100 W 21ST ST
CLOVIS, NM 88101-4151
Phone number: 575-769-2345
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Mailing Address
BAILLIE M JORTH
1100 W 21ST ST
CLOVIS, NM 88101-4151
Phone number: 575-769-2345
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