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Individual

PAULINE SARA MONDRAGON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
12 CERRADO RD, SANTA FE, NM 87508-8253
(505) 399-0106
Mailing address
12 CERRADO RD, SANTA FE, NM 87508-8253
(505) 399-0106

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
65312
NM

Other

Enumeration date
10/19/2021
Last updated
10/19/2021
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