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1568495141
JOAN PROUTY
ALBUQUERQUE, NM
NPI
1568495141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 98-PA26)
Enumeration Date
2006-07-08
Last Update Date
2008-08-14
Business Address
JOAN PROUTY PA-C
PMG URGENT CARE 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Phone number: 505-823-8519
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Mailing Address
JOAN PROUTY PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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