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1194788323
JERRY R MONTOYA
ALBUQUERQUE, NM
NPI
1194788323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM 80-PA011)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Mr. JERRY R MONTOYA PA-C
1501 SAN PEDRO SE
ALBUQUERQUE, NM 87108-9874
Phone number: 505-265-1711
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Mailing Address
Mr. JERRY R MONTOYA PA-C
HC 66-196-3
MOUNTAINAIR, NM 87036
Phone number: 505-265-1711
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