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1417530304
BACK AND NECK MEDICAL CARE CENTER, LLC
LAS CRUCES, NM
NPI
1417530304
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Entity Type
Organization
Authorized Contact
GLENN J. WALDT
Provider Owner
505-695-1227
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2021-04-29
Last Update Date
2024-05-08
Business Address
BACK AND NECK MEDICAL CARE CENTER, LLC
2803 DORAL CT
LAS CRUCES, NM 88011-8616
Phone number: 046-984-4063
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Mailing Address
BACK AND NECK MEDICAL CARE CENTER, LLC
1180 COMMERCE DR UNIT 14222
LAS CRUCES, NM 88013-4649
Phone number: 505-695-1227
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