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1508034588
JAMIE F EDENS
ALBUQUERQUE, NM
NPI
1508034588
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Former Name
JAMIE I FANNING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA2009-0028)
Enumeration Date
2008-02-13
Last Update Date
2014-07-10
Business Address
-- JAMIE F EDENS PA-C
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102-2372
Phone number: 505-242-3991
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Mailing Address
-- JAMIE F EDENS PA-C
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102-2372
Phone number: 505-242-3991
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