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Individual

LAUREL ESCANO LAUREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
203 HOSPITAL DR, RATON, NM 87740-2012
(575) 445-3661
(575) 445-7737
Mailing address
203 HOSPITAL DR, RATON, NM 87740-2012
(575) 445-3661
(575) 445-7737

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62500
NM

Other

Enumeration date
01/08/2021
Last updated
05/17/2021
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