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Organization
SANTA TERESA OCCMED CENTER, PC
Active
Organization
SANTA TERESA OCCMED CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA L. AYERS (ADMINISTRATIVE ASSISTANT)
(915) 842-0504
Entity
Organization
Contact information
Practice address
5055 MCNUTT RD, SANTA TERESA, NM 88008-9442
(505) 589-5005
Mailing address
5055 MCNUTT RD, SANTA TERESA, NM 88008-9442
(505) 589-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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