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1790591659
ERIC WAYNE ENSIGN
ALBUQUERQUE, NM
NPI
1790591659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
ERIC WAYNE ENSIGN
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-3414
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Mailing Address
ERIC WAYNE ENSIGN
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number:
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