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Individual

DR. RAY C KOLOSSEUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
755 S TELSHOR BLVD, LAS CRUCES, NM 88011-4688
(505) 522-5666
(505) 522-5680
Mailing address
755 S TELSHOR BLVD, LAS CRUCES, NM 88011-4681
(505) 522-5666
(505) 522-5680

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
75-185
NM

Other

Enumeration date
10/03/2005
Last updated
07/08/2007
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