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Individual

GUY MASSENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R54346
NM
163WC1500X
Community Health Registered Nurse
Primary
R54346
NM

Other

Enumeration date
03/23/2015
Last updated
03/28/2017
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