LARRY BUSSANMAS

CLOVIS, NM
NPI1922295419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NM  261)
Additional Taxonomies152W00000X Optometrist
(Licence: TX  02551)
Enumeration Date2007-09-27
Last Update Date2007-09-27
Business Address
Dr. LARRY BUSSANMAS O.D.
3728 N PRINCE ST
CLOVIS, NM 88101-9744
Phone number: 505-742-0994
Mailing Address
Dr. LARRY BUSSANMAS O.D.
PO BOX 460
CLOVIS, NM 88102-0460
Phone number: 505-742-0994
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