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1730112558
TERRY A BOULWARE
LAS CRUCES, NM
NPI
1730112558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NM MD2005-0138)
Enumeration Date
2006-07-07
Last Update Date
2007-09-25
Business Address
Dr. TERRY A BOULWARE M.D.
2525 S TELSHOR BLVD BLDG 14, STE 102
LAS CRUCES, NM 88011-5071
Phone number: 505-522-7247
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Mailing Address
Dr. TERRY A BOULWARE M.D.
2525 S TELSHOR BLVD BLDG 14, STE 102
LAS CRUCES, NM 88011-5071
Phone number: 505-522-7247
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