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1740745249
DEREK SANDOVAL
ALBUQUERQUE, NM
NPI
1740745249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NM 54702)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
DEREK SANDOVAL
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4934
Phone number: 505-724-6125
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Mailing Address
DEREK SANDOVAL
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4934
Phone number: 505-724-6125
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