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1992937221
DALIA BERMUDEZ LICON
DEMING, NM
NPI
1992937221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
(Licence: NM 310477)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
DALIA BERMUDEZ LICON
1001 S DIAMOND AVE
DEMING, NM 88030-4710
Phone number: 575-546-0427
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Mailing Address
DALIA BERMUDEZ LICON
1001 S DIAMOND AVE
DEMING, NM 88030-4710
Phone number: 575-546-0427
Copy
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