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1033791892
REBECCA JANE WALLIG
ESPANOLA, NM
NPI
1033791892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM DO2024-0091)
Enumeration Date
2021-04-22
Last Update Date
2024-07-16
Business Address
REBECCA JANE WALLIG DO
1010 SPRUCE ST
ESPANOLA, NM 87532-2724
Phone number: 505-367-0340
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Mailing Address
REBECCA JANE WALLIG DO
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number:
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