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1124609979
SHAY MALYNN BENNER
ALBUQUERQUE, NM
NPI
1124609979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: NM 62095)
Enumeration Date
2021-04-14
Last Update Date
2023-05-26
Business Address
Ms. SHAY MALYNN BENNER CPNP-PC
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-5551
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Mailing Address
Ms. SHAY MALYNN BENNER CPNP-PC
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106-4375
Phone number: 505-272-5551
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