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1104311869
JOHN LUNA
ALBUQUERQUE, NM
NPI
1104311869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2018-0039)
Enumeration Date
2018-06-26
Last Update Date
2019-02-21
Business Address
JOHN LUNA PA-C
5901 HARPER DR NE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8282
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Mailing Address
JOHN LUNA PA-C
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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