Individual
DR. KAREN LESLEY RABURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 E HIGH ST, BOX 881, TUCUMCARI, NM 88401-2726
(575) 461-6200
(575) 461-0404
Mailing address
102 E HIGH, BOX 881, TUCUMCARI, NM 88401-0881
(575) 461-6200
(575) 461-0404
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
96-388
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00646
—
NM
Enumeration date
03/10/2007
Last updated
02/26/2014
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