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1245788603
SEAN PORTMAN
ALBUQUERQUE, NM
NPI
1245788603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA2016-0050)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- SEAN PORTMAN PA
3846 MASTHEAD ST NE
ALBUQUERQUE, NM 87109-4479
Phone number: 505-242-1711
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Mailing Address
-- SEAN PORTMAN PA
3846 MASTHEAD ST NE
ALBUQUERQUE, NM 87109-4479
Phone number: 505-242-1711
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