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1326029240
PROVIDENCE MUSOMANDERA BOTNE
ALBUQUERQUE, NM
NPI
1326029240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NM R53622)
Enumeration Date
2005-11-08
Last Update Date
2007-07-08
Business Address
Ms. PROVIDENCE MUSOMANDERA BOTNE R.N.
2600 MARBLE
ALBUQUERQUE, NM 87151-0001
Phone number: 505-839-8839
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Mailing Address
Ms. PROVIDENCE MUSOMANDERA BOTNE R.N.
10712 CENTRAL PARK DR NE
ALBUQUERQUE, NM 87123-4849
Phone number: 505-292-4144
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