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Individual

DR. JOANN LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
565 DANIELS ST, T OR C, NM 87901-3319
(575) 740-0427
(575) 894-0777
Mailing address
565 DANIELS ST, TRUTH OR CONSEQUENCES, NM 87901-3319
(575) 740-0427
(575) 894-0777

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
20050468
NM
208D00000X
General Practice Physician
Primary
20050468
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01786342
NM
05
28777841
NM
05
46650024
NM
05
51305879
NM
05
53938577
NM
05
73805858
NM
Enumeration date
03/28/2007
Last updated
03/27/2014
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