Individual
PAUL VINCENT EBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
880 E IDAHO AVE, LAS CRUCES, NM 88001-3746
(575) 523-0572
(575) 527-4457
Mailing address
880 E IDAHO AVE, LAS CRUCES, NM 88001-3746
(575) 523-0572
(575) 527-4457
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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