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1720031453
KATHRYN TANIS
ALBUQUERQUE, NM
NPI
1720031453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: NM CNP00550)
Enumeration Date
2006-05-17
Last Update Date
2014-09-23
Business Address
-- KATHRYN TANIS CNP
883 LEAD AVE SE STE A
ALBUQUERQUE, NM 87102-3644
Phone number: 505-247-8820
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Mailing Address
-- KATHRYN TANIS CNP
9512 ALLANDE RD NE
ALBUQUERQUE, NM 87109-6618
Phone number: 505-299-2148
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