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Individual

MARK D OSMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
125 CHAPARREL BLVD NW, DEMING, NM 88030-8629
(575) 546-4800
(575) 546-0685
Mailing address
122 S GOLD AVE, STE 3, DEMING, NM 88030-3755
(575) 267-3280
(575) 267-1747

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-01957
NM
363LF0000X
Family Nurse Practitioner
677019
TX

Other

Enumeration date
04/21/2010
Last updated
12/01/2016
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