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1730309758
WALTER DAVID SELVAGE
SANTA FE, NM
NPI
1730309758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM 94-PA05)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mr. WALTER DAVID SELVAGE PA-C
1190 S SAINT FRANCIS DR
SANTA FE, NM 87505-4173
Phone number: 505-827-0006
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Mailing Address
Mr. WALTER DAVID SELVAGE PA-C
2720 CALLE CEDRO
SANTA FE, NM 87505-5297
Phone number: 505-660-4282
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