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1447691001
MARIAMA AMINA MASSAQUOI
FORT CARSON, CO
NPI
1447691001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: HI MD-17819)
Enumeration Date
2013-07-11
Last Update Date
2019-02-06
Business Address
MARIAMA AMINA MASSAQUOI M.D.
1650 COCHRANE CIR
FORT CARSON, CO 80913-4613
Phone number: 719-396-4896
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Mailing Address
MARIAMA AMINA MASSAQUOI M.D.
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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