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1952058729
DESIREE M NITZ
ESPANOLA, NM
NPI
1952058729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
DESIREE M NITZ CPSW
807 CALLE CHAMISAL
ESPANOLA, NM 87532-2976
Phone number: 505-901-4073
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Mailing Address
DESIREE M NITZ CPSW
807 CALLE CHAMISAL
ESPANOLA, NM 87532-2976
Phone number:
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