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1114408754
MARY TERESE ANENKENG ANANGFAC
ALBUQUERQUE, NM
NPI
1114408754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 53606)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
MARY TERESE ANENKENG ANANGFAC CNP
5901 HARPER DR NE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8886
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Mailing Address
MARY TERESE ANENKENG ANANGFAC CNP
10709 MCMICHAEL LN SW
ALBUQUERQUE, NM 87121-3644
Phone number: 302-331-7516
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