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1003647942
SOPHOAN DAVIS
ALBUQUERQUE, NM
NPI
1003647942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 61154)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
SOPHOAN DAVIS
8615 BOUVARDIA AVE NW
ALBUQUERQUE, NM 87120-4271
Phone number: 757-641-9637
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Mailing Address
SOPHOAN DAVIS
8615 BOUVARDIA AVE NW
ALBUQUERQUE, NM 87120-4271
Phone number: 757-641-9637
Copy
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