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Individual

CAROLYN VAVRECAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1521 W 13TH ST, CLOVIS, NM 88101-5568
(575) 769-0888
Mailing address
PO BOX 843, PORTALES, NM 88130-0843
(575) 359-3855
(575) 356-5948

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338227
NY

Other

Enumeration date
11/15/2013
Last updated
06/13/2024
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