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Individual

DOROTHY JILL CAVALIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 W 4TH ST, LORDSBURG, NM 88045-1614
(575) 542-3252
Mailing address
121 W PORTAL RD, PORTAL, AZ 85632-8006
(575) 644-2045

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R51594
NM
163WS0200X
School Registered Nurse
409955
NM

Other

Enumeration date
10/16/2023
Last updated
10/16/2023
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