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1417031840
HERNAN CIUDAD
LAS CRUCES, NM
NPI
1417031840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM 74-17)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- HERNAN CIUDAD
2801 MISSOURI AVE SUITE 27
LAS CRUCES, NM 88011-5075
Phone number: 505-521-0630
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Mailing Address
-- HERNAN CIUDAD
PO BOX 1560
LAS CRUCES, NM 88004-1560
Phone number: 505-647-8366
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