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Organization
INSTITUTE FOR PERMANENT MAKEUP AND RESTORATIVE EDUCATION
Active
Organization
INSTITUTE FOR PERMANENT MAKEUP AND RESTORATIVE EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANINE G MCTASNEY (OWNER)
(505) 204-6500
Entity
Organization
Contact information
Practice address
715 S SAINT FRANCIS DR, SANTA FE, NM 87505-3058
(505) 204-6500
Mailing address
22 SUNLIT DR E, SANTA FE, NM 87508-8992
(505) 204-6500
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
NULL
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
05/16/2016
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