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Individual

MS. ASHLEY J BUTLER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCJ, MPA

Contact information

Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2898
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 527-7900
(575) 571-4872

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
05
47043
NM
Enumeration date
09/23/2009
Last updated
03/06/2014
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