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1194806638
ALBERT BOURBON
ALBUQUERQUE, NM
NPI
1194806638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 92PA08)
Enumeration Date
2006-10-18
Last Update Date
2023-06-06
Business Address
ALBERT BOURBON
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121-1927
Phone number: 505-925-4126
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Mailing Address
ALBERT BOURBON
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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