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1184718553
SANTANA M FONTANA
ALBUQUERQUE, NM
NPI
1184718553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 20020277)
Enumeration Date
2006-10-03
Last Update Date
2008-07-16
Business Address
SANTANA M FONTANA MD
3436 ISLETA BLVD SW PMG ISLETA
ALBUQUERQUE, NM 87105-5837
Phone number: 505-462-7777
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Mailing Address
SANTANA M FONTANA MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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