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1316220478
JESSICA LUCILLA WYACO TSABETSAYE
ALBUQUERQUE, NM
NPI
1316220478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2011-0034)
Enumeration Date
2011-09-26
Last Update Date
2015-02-05
Business Address
Mrs. JESSICA LUCILLA WYACO TSABETSAYE PA
5901 HARPER DR NE PMG URGENT CARE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8233
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Mailing Address
Mrs. JESSICA LUCILLA WYACO TSABETSAYE PA
5712 POTENTILLA CT NW
ALBUQUERQUE, NM 87120-6240
Phone number: 505-720-0606
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