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1750023602
ELIJAH JOHNSON
ALBUQUERQUE, NM
NPI
1750023602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
ELIJAH JOHNSON
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4661
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Mailing Address
ELIJAH JOHNSON
3301 MONROE ST NE UNIT K111
ALBUQUERQUE, NM 87110-1874
Phone number: 505-720-5240
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