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Organization

LAGO CLARO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN M SKIRVIN (BILLER/CREDENTIALER)
(915) 345-5489
Entity
Organization

Contact information

Practice address
2410 S. ESPINA ST, LAS CRUCES, NM 88001
(575) 642-0650
Mailing address
1925 ANITA DR, LAS CRUCES, NM 88001-2027

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/19/2018
Last updated
07/19/2018
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