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1104202308
ANTONIO TAVITAS
ALBUQUERQUE, NM
NPI
1104202308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP-02706)
Enumeration Date
2015-08-11
Last Update Date
2024-10-29
Business Address
ANTONIO TAVITAS BC-FNP
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1234
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Mailing Address
ANTONIO TAVITAS BC-FNP
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number:
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