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1083629547
MILTON ICENOGLE
ALBUQUERQUE, NM
NPI
1083629547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NM 83-228)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
MILTON ICENOGLE MD
5TH AMBULATORY CARE CTR 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-3840
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Mailing Address
MILTON ICENOGLE MD
2211 LOMAS BLVD NE MSC10 5550
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-3840
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