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Individual

AMBER MARIE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
7TH ST. AND ELM, SAN JON, NM 88434
(970) 596-4837
Mailing address
7TH AND ELM, SAN JON, NM 88434
(970) 596-4837

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
63989
NM

Other

Enumeration date
11/08/2021
Last updated
11/08/2021
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