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Vincent John Losack, LMT

Specialist in Corrales, NM. Individual provider (NPI-1).

NPI number1013240563
StatusActive
Last updated in NPPESSep 16, 2009

Details

NPI
1013240563
Entity type
Individual (NPI-1)
Name
Mr. Vincent John Losack
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 16, 2009
Last updated
Sep 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist6405NMYes

Practice location

5606 Corrales Rd
Corrales, NM 87048-8754

Phone 505-269-3263

Mailing address

5606 Corrales Rd
Corrales, NM 87048-8754

Phone 505-269-3263

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