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1144877374
EDITH MOON
ALBUQUERQUE, NM
NPI
1144877374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 57399)
Enumeration Date
2019-08-22
Last Update Date
2023-06-08
Business Address
EDITH MOON
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108-3167
Phone number: 505-272-9242
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Mailing Address
EDITH MOON
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108-3167
Phone number: 505-272-9242
Copy
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