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1003644378
BIKAL WAGLE
ALBUQUERQUE, NM
NPI
1003644378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NM 80090)
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
BIKAL WAGLE
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108-5566
Phone number: 505-842-5550
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Mailing Address
BIKAL WAGLE
8327 GARDENBROOK PL NW
ALBUQUERQUE, NM 87120-5614
Phone number: 505-629-3758
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