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Organization

MIKE & ERNEST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL VALLEJOS (OWNER)
(505) 861-5473
Entity
Organization

Contact information

Practice address
1003 S MAIN ST, BELEN, NM 87002-3315
(505) 861-5473
Mailing address
1003 S MAIN ST, BELEN, NM 87002-3315
(505) 861-5473

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
03/16/2009
Last updated
03/16/2009
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