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Individual

LISA MARIE FECHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
206 PORR DR, RUIDOSO, NM 88345-6713
(575) 630-0571
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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  • EDI platform