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Individual

RACHEL LYNN MANKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
Mailing address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5484
NM

Other

Enumeration date
07/27/2021
Last updated
07/27/2021
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