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1487977898
WILLIAM WACKOCKI
ALBUQUERQUE, NM
NPI
1487977898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-03-12
Last Update Date
2010-03-12
Business Address
-- WILLIAM WACKOCKI
2720 SAN PEDRO DR NE
ALBUQUERQUE, NM 87110-3333
Phone number: 505-265-7936
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Mailing Address
-- WILLIAM WACKOCKI
2720 SAN PEDRO DR NE
ALBUQUERQUE, NM 87110-3333
Phone number: 505-265-7936
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