BLAVIR RUKOV

ALBUQUERQUE, NM
NPI1407199557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NM  R12-2013)
Enumeration Date2013-03-27
Last Update Date2017-03-27
Business Address
-- BLAVIR RUKOV D.O.
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
Mailing Address
-- BLAVIR RUKOV D.O.
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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