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Organization
KIDNEY CARE CENTER NEW MEXICO LLC
Active
Organization
KIDNEY CARE CENTER NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU ALAUSA MD (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
880 ANTHONY DR, STE 3A, ANTHONY, NM 88021-9346
(815) 741-6830
(815) 741-6832
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
09/27/2016
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