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1497222913
ALYSSA DAWN LATHAM
ALBUQUERQUE, NM
NPI
1497222913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.006091RX)
Enumeration Date
2018-11-02
Last Update Date
2021-09-03
Business Address
Ms. ALYSSA DAWN LATHAM PA
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
Ms. ALYSSA DAWN LATHAM PA
9100 SAN MATEO BLVD NE APT 2053
ALBUQUERQUE, NM 87113-2605
Phone number: 859-620-2204
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