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1619233947
BLAINE L BROWN
ALBUQUERQUE, NM
NPI
1619233947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NM A-0851)
Enumeration Date
2012-04-11
Last Update Date
2012-04-11
Business Address
Mr. BLAINE L BROWN
1509 UNIVERSITY BLVD NE
ALBUQUERQUE, NM 87102-1708
Phone number: 505-243-2257
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Mailing Address
Mr. BLAINE L BROWN
10419 SAN GREGORIO DR NW
ALBUQUERQUE, NM 87114-4761
Phone number: 505-890-8231
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