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1962105437
IAN DREW VILLESCAS
LAS CRUCES, NM
NPI
1962105437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
IAN DREW VILLESCAS
4311 E LOHMAN AVE
LAS CRUCES, NM 88011-8255
Phone number: 575-556-7600
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Mailing Address
IAN DREW VILLESCAS
439 LUPTON PL
LAS CRUCES, NM 88001-8448
Phone number: 575-635-5858
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