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NPI Provider: 1275539504
Contact Name: Bates Nelson Trent
Position: Administrator
Phone: (505) 627-6256
Blue Horseshoe, Inc. Information:
Blue Horseshoe, Inc. organization have npi 1275539504, taxonomy code is 251E00000X with license number is 6632 in . This Business address located in 315 W Country Club Rd, Roswell, NM 88201 New Mexico. Get directions of Blue Horseshoe, Inc..
Practice Location
Address: 315 W Country Club Rd, Roswell, NM 88201
Phone: (505) 627-6256
Business Location
Address: 315 W Country Club Rd, Roswell, NM 88201
Phone: (505) 627-6256
Fax: (520) 885-7396
Taxonomy
Taxonomy Code: 251E00000X
License Number: 6632
License Number of State: NM
Primary Taxonomy Switch: Y
Enumeration Date: 6/22/2005
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