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Individual

MARY JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 MOUNTAIN RD, GRANTS, NM 87020-2601
(505) 285-2660
Mailing address
PO BOX 8, GRANTS, NM 87020-0008
(505) 285-2661

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R42596
NM

Other

Enumeration date
02/16/2023
Last updated
02/16/2023
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