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1730748401
ERIC KOGA
ALBUQUERQUE, NM
NPI
1730748401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: NM na)
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
ERIC KOGA
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
ERIC KOGA
4900 ROSELIN WAY
ELK GROVE, CA 95758-4145
Phone number: 916-837-2417
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