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1679516702
THOREAU CLINIC
THOREAU, NM
NPI
1679516702
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Entity Type
Organization
Authorized Contact
ANSLEM ROANHORSE
CEO
505-786-5291
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2006-06-14
Last Update Date
2012-10-18
Business Address
THOREAU CLINIC
3 NAVARRE STREET
THOREAU, NM 87323
Phone number: 505-862-8250
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Mailing Address
THOREAU CLINIC
PO BOX 358
CROWNPOINT, NM 87313-0358
Phone number: 505-786-5291
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