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Organization
SANTA ROSA LION CARE HEALTH CENTER
Active
Organization
SANTA ROSA LION CARE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ADRIAN ABREU (EXECUTIVE DIRECTOR)
(505) 454-3523
Entity
Organization
Contact information
Practice address
717 S 3RD ST, SANTA ROSA, NM 88435-2411
(505) 426-2262
(505) 454-1473
Mailing address
PO BOX 927, LAS VEGAS, NM 87701-0927
(505) 426-2262
(505) 454-1473
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/25/2011
Last updated
03/08/2016
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