Provider Information for 1790418499
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ROBERT R RASP
Sex: Male
NPI: 1790418499
Last Updated: 2022-07-08
Certification Date: 2022-07-08
Certification Date: 2022-07-08
Details
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NPI | 1790418499 | ||||||||
Enumeration Date | 2022-07-08 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1415 COUNTRY CLUB CIR LAS CRUCES, NM 88001-1553 United States Phone: 314-359-0875 | Fax: | ||||||||
Primary Practice Address | 1415 COUNTRY CLUB CIR LAS CRUCES, NM 88001-1553 United States Phone: 314-359-0875 | Fax: | ||||||||
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