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1801811146
MARK ALLEN LIMBACK
FARMINGTON, NM
NPI
1801811146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM 94-PA29)
Enumeration Date
2006-07-13
Last Update Date
2008-03-07
Business Address
-- MARK ALLEN LIMBACK P.A.
622 W MAPLE ST SUITE B
FARMINGTON, NM 87401-6590
Phone number: 505-327-4867
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Mailing Address
-- MARK ALLEN LIMBACK P.A.
622 W MAPLE ST SUITE B
FARMINGTON, NM 87401-6590
Phone number: 505-327-4867
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