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1164581021
ANN MARIE MUSTO
EDGEWOOD, NM
NPI
1164581021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: TX 105316)
Enumeration Date
2006-12-07
Last Update Date
2007-07-08
Business Address
Mrs. ANN MARIE MUSTO
13 SAN MIGUEL RD
EDGEWOOD, NM 87015-7919
Phone number: 505-286-4366
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Mailing Address
Mrs. ANN MARIE MUSTO
13 SAN MIGUEL RD
EDGEWOOD, NM 87015-7919
Phone number: 505-286-4366
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