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Individual

DARIA MAGHSOUDLOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1835 N MAIN ST, ROSWELL, NM 88201-5168
(575) 624-0423
Mailing address
1716 W 2ND ST, ROSWELL, NM 88201-2020
(575) 840-0334

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008611
NM

Other

Enumeration date
12/24/2016
Last updated
12/24/2016
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