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1114055365
BOSHA A GORDON
ALBUQUERQUE, NM
NPI
1114055365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP00393)
Enumeration Date
2007-03-01
Last Update Date
2011-05-22
Business Address
Ms. BOSHA A GORDON APRN
1001 MEDICAL ARTS AVE NE # UNM
ALBUQUERQUE, NM 87102-2708
Phone number: 505-272-5132
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Mailing Address
Ms. BOSHA A GORDON APRN
2829 INDIANA ST NE
ALBUQUERQUE, NM 87110-3427
Phone number: 505-508-1304
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