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1134213937
CARLA L. VANDYKE
ALBUQUERQUE, NM
NPI
1134213937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: NM R31478)
Enumeration Date
2006-10-03
Last Update Date
2009-10-29
Business Address
CARLA L. VANDYKE CNS
PHS WOUND CLINIC 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Phone number: 505-823-8870
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Mailing Address
CARLA L. VANDYKE CNS
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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