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1801529953
ALLIE RAE HALSOR
RIO RANCHO, NM
NPI
1801529953
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Former Name
ALLIE RAE MCMILLAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-06
Last Update Date
2024-04-08
Business Address
ALLIE RAE HALSOR PA-C
6510 OERSTED RD NE
RIO RANCHO, NM 87144-6562
Phone number: 505-610-1950
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Mailing Address
ALLIE RAE HALSOR PA-C
6510 OERSTED RD NE
RIO RANCHO, NM 87144-6562
Phone number: 505-610-1950
Copy
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