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1174680987
FREDERICK MOSLEY
FARMINGTON, NM
NPI
1174680987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: NM 97-111)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
FREDERICK MOSLEY M.D.
2700 FARMINGTON AVE BLDG. F
FARMINGTON, NM 87401-4559
Phone number: 505-325-1100
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Mailing Address
FREDERICK MOSLEY M.D.
2700 FARMINGTON AVE BLDG. F
FARMINGTON, NM 87401-4559
Phone number: 505-325-1100
Copy
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