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Individual

MS. LAURA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4055 MONTGOMERY BLVD NE, SUBITE B, ALBUQUERQUE, NM 87109-1178
(505) 884-4464
Mailing address
4055 MONTGOMERY NE, SUBITE B, ALBUQUERQUE, NM 87109
(505) 884-4464

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-15285
NM

Other

Enumeration date
09/28/2009
Last updated
09/28/2009
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