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1023652633
AMY LONGFELLOW
ESPANOLA, NM
NPI
1023652633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM PA2019-0101)
Enumeration Date
2019-11-06
Last Update Date
2019-11-07
Business Address
AMY LONGFELLOW
2010 INDUSTRIAL PARK RD
ESPANOLA, NM 87532-3600
Phone number: 505-753-7395
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Mailing Address
AMY LONGFELLOW
1331 GUSDORF RD
TAOS, NM 87571-6282
Phone number: 505-753-7218
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