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1033977780
BOSQUE CLINIC LLC
RIO RANCHO, NM
NPI
1033977780
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Entity Type
Organization
Authorized Contact
ROBERT MARTINEZ
Owner
505-934-0171
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
BOSQUE CLINIC LLC
1400 JACKIE RD SE STE 106
RIO RANCHO, NM 87124-1518
Phone number: 505-934-0171
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Mailing Address
BOSQUE CLINIC LLC
1400 JACKIE RD SE STE 106
RIO RANCHO, NM 87124-1518
Phone number:
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