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1740569763
GENESIS PHYSICIAN ASSOCIATES LLC
FARMINGTON, NM
NPI
1740569763
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Entity Type
Organization
Authorized Contact
UCHE OBISIKE
President
505-436-2671
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM MD2006-0141)
Enumeration Date
2011-08-08
Last Update Date
2020-10-29
Business Address
GENESIS PHYSICIAN ASSOCIATES LLC
4801 N BUTLER AVENUE SUITE 8102
FARMINGTON, NM 87401-0818
Phone number: 505-436-2671
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Mailing Address
GENESIS PHYSICIAN ASSOCIATES LLC
4801 N BUTLER AVENUE SUITE 8102
FARMINGTON, NM 87401-0818
Phone number: 505-436-2671
Copy
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