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1578011094
BARTHOLOMEW J LALLY
ALBUQUERQUE, NM
NPI
1578011094
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Other Name
BART LALLY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2016-0077)
Enumeration Date
2016-09-13
Last Update Date
2020-11-10
Business Address
BARTHOLOMEW J LALLY PA-C
933 SAN MATEO BLVD NE STE 500
ALBUQUERQUE, NM 87108-1862
Phone number: 505-204-5150
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Mailing Address
BARTHOLOMEW J LALLY PA-C
933 SAN MATEO NE SUITE 500 #174
ALBUQUERQUE, NM 87108
Phone number: 505-204-5150
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