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1083455794
IDEAL OPTION PLLC
LAS CRUCES, NM
NPI
1083455794
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Entity Type
Organization
Authorized Contact
BRIAN JEFFERSON DAWSON
Cmo
509-222-1275
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
IDEAL OPTION PLLC
532 N TELSHOR BLVD STE G
LAS CRUCES, NM 88011-8234
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION PLLC
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 509-570-9302
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