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1043571458
MARK HIMES
FARMINGTON, NM
NPI
1043571458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: NM A-1969-16)
Enumeration Date
2012-06-01
Last Update Date
2017-04-06
Business Address
-- MARK HIMES DO
622 W MAPLE ST STE B
FARMINGTON, NM 87401-6590
Phone number: 505-327-4867
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Mailing Address
-- MARK HIMES DO
622 W MAPLE ST STE B
FARMINGTON, NM 87401-6589
Phone number: 505-327-4867
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