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Individual

SONDA SUE BOULWARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
2525 S TELSHOR BLVD, BUILDING 14, SUITE 102, LAS CRUCES, NM 88011-5071
(575) 522-7247
(575) 522-2029
Mailing address
2525 S TELSHOR BLVD, STE 102, LAS CRUCES, NM 88011-9148
(575) 522-7247
(575) 522-2029

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-01702
NM

Other

Enumeration date
01/26/2011
Last updated
07/28/2016
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