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1184640831
SUSAN ELLEN RAGO
FARMINGTON, NM
NPI
1184640831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM 94-PA33)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN ELLEN RAGO PA-C
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-327-4796
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Mailing Address
Mrs. SUSAN ELLEN RAGO PA-C
PO BOX 445
AZTEC, NM 87410-0445
Phone number: 505-327-4796
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