LOWELL MONTANA BENCOMO

LAS CRUCES, NM
NPI1043609753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  697)
Enumeration Date2015-01-19
Last Update Date2017-03-06
Business Address
Mr. LOWELL MONTANA BENCOMO ATC
2404 S LOCUST ST STE 5
LAS CRUCES, NM 88001-5789
Phone number: 575-521-4188
Mailing Address
Mr. LOWELL MONTANA BENCOMO ATC
2404 S LOCUST ST STE 5
LAS CRUCES, NM 88001-5789
Phone number: 575-521-4188
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