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1104873082
DIANA MEDINA
SANTA FE, NM
NPI
1104873082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM 91-PA07)
Enumeration Date
2006-05-27
Last Update Date
2013-03-26
Business Address
-- DIANA MEDINA PA-C
2025 GALISTEO ST
SANTA FE, NM 87505-2101
Phone number: 505-995-4901
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Mailing Address
-- DIANA MEDINA PA-C
2025 GALISTEO ST
SANTA FE, NM 87505-2101
Phone number: 505-995-4901
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