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Individual

ALLISON DAWN HEINEN-SORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCSS

Contact information

Practice address
900 MARSHALL ST, TRUTH OR CONSEQUENCES, NM 87901-6600
(951) 478-1138
Mailing address
916 IVY ST, TRUTH OR CONSEQUENCES, NM 87901-1640
(951) 478-1138

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NM

Other

Enumeration date
10/26/2021
Last updated
10/26/2021
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