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1114644754
MIRIAM GABRIELA FAVELA
ALBUQUERQUE, NM
NPI
1114644754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
MIRIAM GABRIELA FAVELA
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-3414
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Mailing Address
MIRIAM GABRIELA FAVELA
MSC08 4700 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-3414
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