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1265405302
JAN A GOTTA
FARMINGTON, NM
NPI
1265405302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NM MD2004-0691)
Enumeration Date
2006-02-09
Last Update Date
2009-12-10
Business Address
JAN A GOTTA M.D.
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-326-6400
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Mailing Address
JAN A GOTTA M.D.
1515 E 20TH ST SUITE A
FARMINGTON, NM 87401-9039
Phone number: 505-326-6400
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