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1033137443
GEORGE R KIRACOFE
ACOMA, NM
NPI
1033137443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 22645)
Enumeration Date
2006-07-17
Last Update Date
2015-05-26
Business Address
Dr. GEORGE R KIRACOFE M.D.
80 B VETERANS BLVD I-40, EXIT 102
ACOMA, NM 87034
Phone number: 505-552-5300
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Mailing Address
Dr. GEORGE R KIRACOFE M.D.
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5300
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