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Individual

MR. THOMAS BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
80B VETERANS BLVD, ACL IHS, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-5828
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-5828

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
10000654
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H3451
NM
Enumeration date
06/13/2013
Last updated
06/13/2013
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