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1083708457
JAMIE GOMEZ
ALBUQUERQUE, NM
NPI
1083708457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 9945)
Enumeration Date
2006-10-03
Last Update Date
2008-07-17
Business Address
JAMIE GOMEZ MD
8200 CONSTITUTION PL NE STE A PMG KASEMAN FAMILY HEALTHCARE
ALBUQUERQUE, NM 87110-7647
Phone number: 505-291-2402
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Mailing Address
JAMIE GOMEZ MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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