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Individual

MS. KRISTIN MCCOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5419 N LOVINGTON HWY, SUITE 15, HOBBS, NM 88240-9131
(505) 491-5000
Mailing address
2420 W PIERCE ST, SUITE 200, CARLSBAD, NM 88220-3543
(575) 628-0926
(575) 628-0493

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20030003
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24976326
NM
Enumeration date
04/13/2006
Last updated
03/31/2008
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