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Individual

BETHANY LILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2424 N LOVINGTON HWY, HOBBS, NM 88240-2121
(575) 492-9505
(575) 738-0208
Mailing address
105 E WOLFCAMP DR APT 2, HOBBS, NM 88240-2041
(575) 522-9500

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/14/2023
Last updated
02/14/2023
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