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Individual

DR. ELLEN M BEEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5757 HARPER DR NE, ALBUQUERQUE, NM 87109-3566
(505) 888-5757
(505) 889-3589
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 213-0103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
659
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30253373
NM
Enumeration date
09/08/2013
Last updated
12/05/2014
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