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1487164125
ELLYN MEDRANO
ALBUQUERQUE, NM
NPI
1487164125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: NM 3813)
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
ELLYN MEDRANO COTA/L
8016 PETROGLYPH AVE NW
ALBUQUERQUE, NM 87120-6558
Phone number: 505-228-5050
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Mailing Address
ELLYN MEDRANO COTA/L
8016 PETROGLYPH AVE NW
ALBUQUERQUE, NM 87120-6558
Phone number: 505-228-5050
Copy
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