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Individual

BART THOMAS GATEWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2420 N FOWLER ST, HOBBS, NM 88240-2347
(575) 392-6516
(575) 392-8236
Mailing address
2420 N FOWLER ST, HOBBS, NM 88240-2347
(575) 392-6516
(575) 392-8236

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH00007323
NM

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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