904 WEST MAIN LLC

FARMINGTON, NM
NPI1235964172
Entity TypeOrganization
Authorized ContactKURT COOK
CEO
505-793-6750
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-09-02
Last Update Date2024-09-02
Business Address
904 WEST MAIN LLC
615 W BROADWAY
FARMINGTON, NM 87401-5910
Phone number: 505-535-4196
Mailing Address
904 WEST MAIN LLC
615 W BROADWAY
FARMINGTON, NM 87401-5910
Phone number: 505-535-4196
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