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1407411762
RON SMOCK
ALBUQUERQUE, NM
NPI
1407411762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: NM 32D-0000011)
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
RON SMOCK
4213 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109-1103
Phone number: 505-255-1090
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Mailing Address
RON SMOCK
PO BOX 95708
ALBUQUERQUE, NM 87199-5708
Phone number: 505-362-8039
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