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1902148885
FERMIN MIGUEL FONTAN
LAS CRUCES, NM
NPI
1902148885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NM MD2020-0043)
Enumeration Date
2013-03-19
Last Update Date
2020-03-11
Business Address
FERMIN MIGUEL FONTAN M.D.
2100 S TRIVIZ DR STE G
LAS CRUCES, NM 88001-0601
Phone number: 443-857-1115
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Mailing Address
FERMIN MIGUEL FONTAN M.D.
2100 S TRIVIZ DR STE G
LAS CRUCES, NM 88001-0601
Phone number: 443-857-1115
Copy
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