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Individual

MR. JOHN R. HUXSOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASE MANAGER

Contact information

Practice address
413 SIPAPU ST, BOX 6952, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-5860
Mailing address
# 4 BLACK BEAR ROAD, ARROYO SECO, NM 87514
(575) 776-1425
(575) 776-1425

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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