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Ms. Marie Tallent Deloach, MT(ASCP)
Medical Technologist in Dulce, New Mexico
NPI 1508138660

Marie Tallent Deloach is a Medical Technologist based in Dulce, NM and is specialized in Medical Technologist. Marie Tallent Deloach practices in Dulce, NM and has the professional credentials of MT(ASCP). The NPI Number for Marie Tallent Deloach is 1508138660 and holds a License No. 03671395 (New Mexico).

The current practice location address for Marie Tallent Deloach is 500 North Mundo, Dulce, NM and can be reached out via phone at 575-759-7252 and via fax at 575-759-3532.

Location: 500 North Mundo, Dulce, NM, 87528-0187
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Provider Profile Details
NPI Number
1508138660
Provider Name
Marie Tallent Deloach
Credential
MT(ASCP)
Provider Entity Type
Individual
Gender
Female
Address
500 North Mundo, Dulce, NM, 87528-0187
Phone Number
575-759-7252
Fax Number
575-759-3532
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSZ196 01 NM MEDICARE PART B
000K3526 05 NM
institution
Provider Business Practice Location Address Details
Address
500 North Mundo
City
State
Zip
87528
Phone Number
575-759-7252
Fax Number
575-759-3532
person
Provider Business Mailing Address Details
Address
500 North Mundo
City
State
Zip
87528
Phone Number
575-759-7252
Fax Number
575-759-3532
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
License No.
03671395 (South Carolina)
Definition
Definition to come...
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