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1235184326
DIGESTIVE DISEASE CONSULTANTS OF LAS CRUCES LLC
LAS CRUCES, NM
NPI
1235184326
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Entity Type
Organization
Authorized Contact
THOMAS V NATTAKOM
CEO
575-522-7697
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NM 792)
Enumeration Date
2006-05-24
Last Update Date
2011-09-22
Business Address
DIGESTIVE DISEASE CONSULTANTS OF LAS CRUCES LLC
4381 E LOHMAN AVE STE B
LAS CRUCES, NM 88011-8255
Phone number: 575-522-7697
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Mailing Address
DIGESTIVE DISEASE CONSULTANTS OF LAS CRUCES LLC
4381 E LOHMAN AVE STE B
LAS CRUCES, NM 88011-8255
Phone number: 575-522-7697
Copy
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