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Individual

ESTELLA LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
618 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 925-8635
Mailing address
618 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 925-8635

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM

Other

Enumeration date
02/20/2015
Last updated
02/20/2015
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