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1275097420
JAMIE D SANDOVAL
LOS LUNAS, NM
NPI
1275097420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 55046)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
JAMIE D SANDOVAL CNP
200 EMILIO LOPEZ RD NW
LOS LUNAS, NM 87031-6818
Phone number: 505-934-6628
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Mailing Address
JAMIE D SANDOVAL CNP
5636 RED RIVER RD NW
ALBUQUERQUE, NM 87114-6094
Phone number: 505-934-6628
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