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1528714870
NM SMALL TOWN FAMILY PRACTICE, LLC
ALBUQUERQUE, NM
NPI
1528714870
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Entity Type
Organization
Authorized Contact
DEANNA R CLARK
Owner/Provider
505-366-3635
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
NM SMALL TOWN FAMILY PRACTICE, LLC
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109-1103
Phone number: 505-366-3635
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Mailing Address
NM SMALL TOWN FAMILY PRACTICE, LLC
2000 LAM CT NE
RIO RANCHO, NM 87144-7775
Phone number: 575-621-3940
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