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1982905683
IDA LEE FRASER
CARLSBAD, NM
NPI
1982905683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP 01698)
Enumeration Date
2010-11-11
Last Update Date
2014-01-03
Business Address
Mrs. IDA LEE FRASER CNP
2402 W PIERCE ST SUITE 4A
CARLSBAD, NM 88220-3537
Phone number: 575-234-9964
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Mailing Address
Mrs. IDA LEE FRASER CNP
2402 W PIERCE ST SUITE A
CARLSBAD, NM 88220-3537
Phone number: 575-234-9964
Copy
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