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1629030390
PAMELA O BLACK
ALBUQUERQUE, NM
NPI
1629030390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NM 97-192)
Enumeration Date
2006-04-06
Last Update Date
2013-12-13
Business Address
-- PAMELA O BLACK MD
3820 COMMONS AVE NE
ALBUQUERQUE, NM 87109-5831
Phone number: 505-343-1711
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Mailing Address
-- PAMELA O BLACK MD
PO BOX 25206
ALBUQUERQUE, NM 87125-0206
Phone number: 505-343-1711
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