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Individual

MS. LAURA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASE MANAGER

Contact information

Practice address
103 WALNUT ST, CLAYTON, NM 88415-3049
(575) 374-2032
(575) 374-0158
Mailing address
5 KIKER PLACE, CLAYTON, NM 88415
(505) 280-2275

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/11/2009
Last updated
06/11/2009
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