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Individual
MRS. MILQUELLA J OTERO
Active
Individual
MRS. MILQUELLA J OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0098721
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VNM00241NI
NM MEDICAID
NM
Enumeration date
03/22/2007
Last updated
07/08/2007
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