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1154643161
DIANE C MAESTAS
ALBUQUERQUE, NM
NPI
1154643161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NM LD0754)
Enumeration Date
2010-02-17
Last Update Date
2011-08-09
Business Address
Mrs. DIANE C MAESTAS RD
1501 SAN PEDRO DR NE NM VA HEALTH CARE SYSTEM (501)
ALBUQUERQUE, NM 87108-5128
Phone number: 505-265-1711
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Mailing Address
Mrs. DIANE C MAESTAS RD
1501 SAN PEDRO DR NE NM VA HEALTH CARE SYSTEM (501)
ALBUQUERQUE, NM 87108-5128
Phone number: 505-265-1711
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