LAWRENCE ANDREW DECKER

FARMINGTON, NM
NPI1093706699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
(Licence: NM  pa2006-0011)
Enumeration Date2005-11-02
Last Update Date2021-04-23
Business Address
LAWRENCE ANDREW DECKER PAC
3451 N BUTLER AVE
FARMINGTON, NM 87401
Phone number: 505-566-1915
Mailing Address
LAWRENCE ANDREW DECKER PAC
3451 N BUTLER AVE
FARMINGTON, NM 87401-2357
Phone number: 505-566-1915
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