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Individual

CARMAN CHARLES LOATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
170 POLO INN RD, EL PASO, TX 79915-4246
(719) 369-4927
Mailing address
170 POLO INN RD, EL PASO, TX 79915-4246
(719) 369-4927

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
R30018
NM
373H00000X
Day Training/Habilitation Specialist
Primary
R30018
NM

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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