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1396739579
SHINEY NATTAKOM
LAS CRUCES, NM
NPI
1396739579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM 20050080)
Enumeration Date
2005-09-02
Last Update Date
2011-07-19
Business Address
-- SHINEY NATTAKOM MD
166 ROADRUNNER PKWY SUITE 1B
LAS CRUCES, NM 88011-7044
Phone number: 575-522-2222
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Mailing Address
-- SHINEY NATTAKOM MD
PO BOX 1560
LAS CRUCES, NM 88004-1560
Phone number: 505-647-8366
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