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Bethphage Mission West
Specialist in Grants, New Mexico
NPI 1649482639

Bethphage Mission West is a Specialist based in Omaha, NM. Bethphage Mission West practices in Grants, NM. The NPI Number for Bethphage Mission West is 1649482639 and holds a License No. (New Mexico).

The current practice location address for Bethphage Mission West is 920 Lobo Canyon Rd, Grants, NM and can be reached out via phone at 505-287-9333 and via fax at 505-287-9336.

Location: 920 Lobo Canyon Rd, Grants, NM, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649482639
Provider Name
Bethphage Mission West
Credential
Provider Entity Type
Organization
Address
920 Lobo Canyon Rd, Grants, NM, 68137-2220
Phone Number
505-287-9333
Fax Number
505-287-9336
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D0103 05 NM
institution
Provider Business Practice Location Address Details
Address
920 Lobo Canyon Rd
City
Grants
State
New Mexico
Zip
87020-2173
Phone Number
505-287-9333
Fax Number
505-287-9336
person
Provider Business Mailing Address Details
Address
920 Lobo Canyon Rd
City
Grants
State
New Mexico
Zip
87020-2173
Phone Number
505-287-9333
Fax Number
505-287-9336
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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