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1407190119
JOHN E. ANTONIO
CUB, NM
NPI
1407190119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD3776)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
Dr. JOHN E. ANTONIO D.M.D
6349 U.S. HIGHWAY 550
CUB, NM 87013
Phone number: 575-289-3291
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Mailing Address
Dr. JOHN E. ANTONIO D.M.D
2108 REX CT NE
ALBUQUERQUE, NM 87112-3661
Phone number: 505-440-4498
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