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1679318844
SPENCER WILLIAM HALVORSON
FARMINGTON, NM
NPI
1679318844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2024-0070)
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
SPENCER WILLIAM HALVORSON
2300 E 30TH ST STE 101
FARMINGTON, NM 87401-8990
Phone number: 505-208-6280
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Mailing Address
SPENCER WILLIAM HALVORSON
2300 E 30TH ST STE 101
FARMINGTON, NM 87401-8990
Phone number: 505-208-6280
Copy
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