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Individual

MS. CAROLE L OWENS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
HIGHWAY 84 COUNTY ROAD 0324 HOUSE NUMBER 14, TIERRA AMARILLA, NM 87575
(505) 588-7252
(505) 588-7007
Mailing address
1859 CAMINO DE PABILO, SANTA FE, NM 87505-5611
(505) 471-4769

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R05172
NM

Other

Enumeration date
03/14/2006
Last updated
07/08/2007
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