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1205185261
MARY PICKARD
FARMINGTON, NM
NPI
1205185261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2012-0034)
Enumeration Date
2012-09-06
Last Update Date
2017-07-05
Business Address
MARY PICKARD PA-C
407 S SCHWARTZ AVE SUITE 202
FARMINGTON, NM 87401-5925
Phone number: 505-609-6770
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Mailing Address
MARY PICKARD PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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