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Individual

MICHON BLAS SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2001 W 21ST ST, CLOVIS, NM 88101-4086
(575) 935-1625
Mailing address
3908 MARIAH DR, CLOVIS, NM 88101-9563
(505) 948-3481

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54347
NM

Other

Enumeration date
09/05/2024
Last updated
09/05/2024
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