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Individual

JESSICA LEE YAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPSW

Contact information

Practice address
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-1680
(505) 633-8173
Mailing address
PO BOX 682, CEDAR CREST, NM 87008-0682
(603) 244-9261

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1506
NM

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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