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Individual

MAIRA RICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
201 BLACKER AVE, EL PASO, TX 79902-3324
(806) 799-8950
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
(806) 799-8939

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0869
NM
237700000X
Hearing Instrument Specialist
80714
TX

Other

Enumeration date
02/22/2016
Last updated
02/22/2016
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