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Individual

SUSIE MARIE BLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4420 OVERLOOK LN, LAS CRUCES, NM 88007-4543
(575) 621-0033
Mailing address
4420 OVERLOOK LN, LAS CRUCES, NM 88007-4543
(575) 621-0033

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-82334
NM

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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