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1215927215
EAST MOUNTAIN EYE CLINIC PC
EDGEWOOD, NM
NPI
1215927215
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Entity Type
Organization
Authorized Contact
PATRIA DULCE WALKER
President
505-286-2020
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NM NM425)
Enumeration Date
2005-10-21
Last Update Date
2008-10-06
Business Address
EAST MOUNTAIN EYE CLINIC PC
1917 OLD ROUTE 66, EDGEWOOD PLAZA SUITE D-1
EDGEWOOD, NM 87015
Phone number: 505-286-2020
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Mailing Address
EAST MOUNTAIN EYE CLINIC PC
PO BOX 400
EDGEWOOD, NM 87015-0400
Phone number: 505-286-2020
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PATRIA DULCE WALKER