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Individual

DR. PADMANEEL B KANASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2100 MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101
(505) 769-7153
(505) 769-7337
Mailing address
1914 APACHE DR, DALHART, TX 79022-5202
(806) 249-0405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001-50
NM
207Q00000X
Family Medicine Physician
L2362
TX

Other

Enumeration date
09/05/2006
Last updated
07/08/2007
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