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Organization

CLOVIS QUICKCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA LEE CYPHERT FNP-BC (OWNER)
(575) 769-2533
Entity
Organization

Contact information

Practice address
2000 W 21ST ST STE E3, CLOVIS, NM 88101-4093
(575) 769-2533
(575) 769-1735
Mailing address
2000 W 21ST ST STE E3, CLOVIS, NM 88101-4093
(575) 769-2533
(575) 769-1735

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0383007
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982601498
INDIVIDUAL NPI #
NM
Enumeration date
07/12/2010
Last updated
07/21/2010
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