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1013203694
CANDICE SELGADO
FARMINGTON, NM
NPI
1013203694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2011-0014)
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
-- CANDICE SELGADO PA-C
622 W MAPLE ST STE C
FARMINGTON, NM 87401-6589
Phone number: 505-327-9694
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Mailing Address
-- CANDICE SELGADO PA-C
622 W MAPLE ST STE C
FARMINGTON, NM 87401-6589
Phone number: 505-327-9694
Copy
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