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96 Medicine Horse Dr. To'hajiilee NM 87026 | |
(505) 908-2871 | |
(505) 908-2572 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 96 Medicine Horse Dr., To'hajiilee, New Mexico |
Authorized Official Name and Position | Jim Platero (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5059082037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3368 96 Medicine Horse Dr. Tohajiilee NM 87026-3368 Ph: (505) 908-2571 | 96 Medicine Horse Dr. To'hajiilee NM 87026 Ph: (505) 908-2871 |
NPI Number | 1538343579 |
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Provider Enumeration Date | 12/27/2007 |
Last Update Date | 07/07/2014 |
Identifier | Type | State | Issuer |
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1538343579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 0131581 (New Mexico) | Primary |