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Organization
LOW VISION REHABILITATION IN NEW MEXICO LLC
Active
Organization
LOW VISION REHABILITATION IN NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COBY L LIVINGSTONE (OCCUPATIONAL THERAPIST)
(505) 259-3672
Entity
Organization
Contact information
Practice address
303 E BUENA VISTA ST, APT 5, SANTA FE, NM 87505-2675
(505) 259-3672
Mailing address
303 E BUENA VISTA ST, APT 5, SANTA FE, NM 87505-2675
(505) 259-3672
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3146
NM
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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