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1467673657
AUSTIN LYN MOEDE
ALBUQUERQUE, NM
NPI
1467673657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0800X Clinic/Center, Recovery Care
(Licence: NM 96-105)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- AUSTIN LYN MOEDE MD
1414 NARCISCO ST NE
ALBUQUERQUE, NM 87112-6536
Phone number: 505-293-3767
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Mailing Address
-- AUSTIN LYN MOEDE MD
1414 NARCISCO ST NE
ALBUQUERQUE, NM 87112-6536
Phone number: 505-293-3767
Copy
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