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Individual

ERNEST RHETT JABOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3850 FOOTHILLS, SUITE 9, LAS CRUCES, NM 88011
(661) 858-6106
(575) 532-1665
Mailing address
4131 CALLE BELLEZA, LAS CRUCES, NM 88011-4223
(661) 858-6106
(575) 522-2031

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
99226
NM
207R00000X
Internal Medicine Physician
Primary
DR.0053085
CO
207R00000X
Internal Medicine Physician
G87945
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM014386
BLUE CROSS
NM
01
P00227430
RAILROAD MEDICARE
NM
05
Z8514
NM
Enumeration date
03/17/2006
Last updated
10/15/2013
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