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Organization

110 DME STORE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLARINDA HUEBNER (MANAGING DIRECTOR)
(609) 246-5397
Entity
Organization

Contact information

Practice address
388 ONE HORSE RD, ROSWELL, NM 88201-0544
(609) 246-5397
Mailing address
388 ONE HORSE RD, ROSWELL, NM 88201-0544
(609) 246-5397

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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