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Individual

MRS. IRMA TRUJILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BILLER

Contact information

Practice address
201 BROADWAY AVE, COLUMBUS, NM 88029
(575) 544-5421
Mailing address
PO BOX 1597, COLUMBUS, NM 88029-1597
(720) 224-8668

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
NM

Other

Enumeration date
07/28/2015
Last updated
07/28/2015
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