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Individual

MR. CARL WINTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPSW

Contact information

Practice address
230 ROTTEN TREE ROAD, TAOS, NM 87571
(575) 758-7824
(575) 758-3346
Mailing address
230 ROTTEN TREE ROAD, TAOS, NM 87571
(575) 758-7824
(575) 758-3346

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
265
NM

Other

Enumeration date
01/05/2012
Last updated
01/05/2012
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