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1720185788
MARK BEVAN
FARMINGTON, NM
NPI
1720185788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NM 82-11)
Enumeration Date
2006-09-20
Last Update Date
2020-03-19
Business Address
Dr. MARK BEVAN M.D.
812 W MAPLE ST
FARMINGTON, NM 87401-5631
Phone number: 505-326-6521
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Mailing Address
Dr. MARK BEVAN M.D.
622 W MAPLE ST STE H
FARMINGTON, NM 87401-6589
Phone number: 505-326-6521
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