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Organization
FOUR CORNERS SLEEP SUPPLIES
Active
Organization
FOUR CORNERS SLEEP SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S TORNOW DMD (OWNER)
(505) 326-6800
Entity
Organization
Contact information
Practice address
6600 EAST MAIN ST, SUITE B, FARMINGTON, NM 87402
(505) 326-6800
Mailing address
6600 EAST MAIN ST, SUITE B, FARMINGTON, NM 87402
(505) 326-6800
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
4755200
NM
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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