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Individual

DEBRA MAULDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
18 WEST WASHINGTON, LOVINGTON, NM 88260
(575) 739-2712
(575) 739-2205
Mailing address
18 WEST WASHINGTON, LOVINGTON, NM 88260
(575) 739-2712
(575) 739-2205

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R27272
NM

Other

Enumeration date
02/21/2018
Last updated
02/21/2018
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