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Organization
WEST LAS VEGAS SCHOOL BASED HEALTH CENTER
Active
Organization
WEST LAS VEGAS SCHOOL BASED HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA CARRILLO (COORDINATOR)
(505) 426-2564
Entity
Organization
Contact information
Practice address
1024 SOUTH PACIFIC, LAS VEGAS, NM 87701
(505) 426-2564
(505) 426-2579
Mailing address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2564
(505) 426-2579
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
261QS1000X
NM
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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