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1275627663
TERRENCE REAGAN
RIO RANCHO, NM
NPI
1275627663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 92124)
Enumeration Date
2006-10-03
Last Update Date
2016-03-24
Business Address
TERRENCE REAGAN MD
4005 HIGH RESORT BLVD SE PMG HIGH RESORT 4005
RIO RANCHO, NM 87124-5906
Phone number: 505-462-6000
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Mailing Address
TERRENCE REAGAN MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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