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Organization
JICARILLA APACHE HEALTH CARE FACILITY
Active
Organization
JICARILLA APACHE HEALTH CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARRI REA HERBEL LPN (URGENT CARE NURSE)
(505) 759-7258
Entity
Organization
Contact information
Practice address
12000 STONE LAKE RD, DULCE, NM 87528-0187
(505) 759-7258
(505) 759-7258
Mailing address
12000 STONE LAKE RD., P.O. BOX 127, DULCE, NM 87528-0127
(505) 759-7258
(505) 759-7287
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
L10182
NM
Other
Enumeration date
10/30/2006
Last updated
08/22/2020
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