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Individual

MS. MARY ELLEN BARNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
705 WINGFIELD ST, RUIDOSO, NM 88345-9329
(575) 257-9810
Mailing address
705 WINGFIELD ST, RUIDOSO, NM 88345-9329
(575) 257-9810

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
458
NM

Other

Enumeration date
02/16/2011
Last updated
02/16/2011
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