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1205157914
MARY E WILCOX
ALBUQUERQUE, NM
NPI
1205157914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: NM R19788)
Enumeration Date
2010-06-16
Last Update Date
2010-06-16
Business Address
-- MARY E WILCOX CDE
201 CEDAR SE, SUITE 4640
ALBUQUERQUE, NM 87106
Phone number: 505-536-6530
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Mailing Address
-- MARY E WILCOX CDE
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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