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Individual

DR. JESSIE B BATCHELOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 838-4690
(575) 838-4689
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6150
NM
237600000X
Audiologist-Hearing Aid Fitter
23002485A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201181330
IN
Enumeration date
09/24/2010
Last updated
03/14/2017
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