Individual
ANGELA NICHOL DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TOWNSGATE PLZ, CLOVIS, NM 88101-3714
(575) 742-2620
(575) 742-3182
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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