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1477628659
INDIAN HEALTH SERVICE- JICARILLA SERVICE UNIT
DULCE, NM
NPI
1477628659
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Entity Type
Organization
Authorized Contact
JIM SUTTON
CEO
505-759-3291
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2006-11-22
Last Update Date
2020-08-22
Business Address
INDIAN HEALTH SERVICE- JICARILLA SERVICE UNIT
12000 STONE LAKE DRIVE
DULCE, NM 87528-0187
Phone number: 505-759-3291
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Mailing Address
INDIAN HEALTH SERVICE- JICARILLA SERVICE UNIT
PO BOX 804
DULCE, NM 87528-0804
Phone number: 505-759-0440
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