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NPI Profile for NICOLE A BASSETT in LOS LUNAS, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
163WS0200X |
| NPI Number | 1184267171 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/22/2019 | |
| Last updated | 10/22/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICOLE A BASSETT
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NICOLE A BASSETT