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1609364249
DOMINIQUE PUMMILL
ALBUQUERQUE, NM
NPI
1609364249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM CNP03564)
Enumeration Date
2018-04-30
Last Update Date
2018-04-30
Business Address
DOMINIQUE PUMMILL PMHNP
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102-3619
Phone number: 505-288-3173
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Mailing Address
DOMINIQUE PUMMILL PMHNP
PO BOX 966
FAIRACRES, NM 88033-0966
Phone number: 575-805-0695
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