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Individual

MARY L ESTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
1701 SUDDERTH DR, RUIDOSO, NM 88345-6114
(575) 630-1055
(575) 630-1066
Mailing address
PO BOX 9, RUIDOSO, NM 88355-0009
(575) 630-1055
(575) 630-1066

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02204
NM

Other

Enumeration date
06/20/2013
Last updated
11/08/2013
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