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1225122617
MARISKA A WENSINK
ALBUQUERQUE, NM
NPI
1225122617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM 2000309)
Enumeration Date
2006-10-03
Last Update Date
2008-07-17
Business Address
MARISKA A WENSINK MD
5901 HARPER DR NE PMG NORTHSIDE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8888
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Mailing Address
MARISKA A WENSINK MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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