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1639505712
RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC
ALBUQUERQUE, NM
NPI
1639505712
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Entity Type
Organization
Authorized Contact
MIKE A WALLACE
CEO Medical Director
505-220-3873
Organization Subpart ?
No
Primary Taxonomy
163WG0600X Registered Nurse, Gerontology
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC
8328 CASCADE PARK AVE NW
ALBUQUERQUE, NM 87120-6523
Phone number: 505-220-3873
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Mailing Address
RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC
8328 CASCADE PARK AVE NW
ALBUQUERQUE, NM 87120-6523
Phone number: 505-220-3873
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