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Organization

PURE LIFE NM INC

Active
Other names
Pure Life Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORETTA TORRES PHYSICIAN ASSISTANT (PA/CEO)
(505) 467-8372
Entity
Organization

Contact information

Practice address
9 CALLE MEDICO, SANTA FE, NM 87505-4724
(505) 467-8372
(505) 780-8285
Mailing address
9 CALLE MEDICO, SANTA FE, NM 87505-4724
(505) 467-8372
(505) 780-8285

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
12/08/2020
Last updated
12/08/2020
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