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Individual

JANET R THELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
555 S SCHWARTZ AVE, FARMINGTON, NM 87401-5955
(505) 609-6680
(505) 325-1722
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01851
NM

Other

Enumeration date
09/30/2011
Last updated
09/30/2011
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