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Organization

DUCASSE CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSE A DUCASSE D.C. (PRESIDENT)
(505) 287-5377
Entity
Organization

Contact information

Practice address
601 N 1ST ST, SUITE B, GRANTS, NM 87020-2703
(505) 287-5377
(505) 287-5508
Mailing address
PO BOX 540, GRANTS, NM 87020-0540
(505) 287-5377
(505) 287-5508

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1749
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09203818
NM
Enumeration date
07/21/2008
Last updated
01/14/2014
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