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Organization

RIO RANCHO MID-HIGH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA DOBSON (PRINCIPAL)
(505) 823-1569
Entity
Organization

Contact information

Practice address
1600 40TH ST NE, RIO RANCHO, NM 87144-7708
(505) 891-5335
Mailing address
1600 40TH ST NE, RIO RANCHO, NM 87144-7708

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-3395
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51523345
NM
Enumeration date
10/25/2007
Last updated
10/25/2007
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