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1780682914
MARY H MA
ALBUQUERQUE, NM
NPI
1780682914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM 9076)
Enumeration Date
2005-07-12
Last Update Date
2008-07-15
Business Address
MARY H MA MD
1001 SILVER AVE SE PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106-4904
Phone number: 505-841-1819
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Mailing Address
MARY H MA MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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