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Individual

KENNETH PASSMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2301B WYOMING AVE, EL PASO, TX 79903-3808
(915) 875-4519
Mailing address
2301B WYOMING AVE, EL PASO, TX 79903-3808
(915) 875-4519

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
11/19/2008
Last updated
11/19/2008
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