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1063576148
ANIMAS DERMATOLOGY MD PC
FARMINGTON, NM
NPI
1063576148
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Entity Type
Organization
Authorized Contact
JEAN A GRAHAM
CEO
505-324-8375
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NM 97-254)
Enumeration Date
2006-12-21
Last Update Date
2018-08-17
Business Address
ANIMAS DERMATOLOGY MD PC
4801 N BUTLER AVE STE 9101
FARMINGTON, NM 87401-3300
Phone number: 505-324-8375
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Mailing Address
ANIMAS DERMATOLOGY MD PC
1654 COUNTY ROAD 120
HESPERUS, CO 81326-9752
Phone number:
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