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1821314857
PAVEL JOHN NOCKEL
ALBUQUERQUE, NM
NPI
1821314857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NM A-2097-17)
Enumeration Date
2010-04-15
Last Update Date
2017-11-02
Business Address
PAVEL JOHN NOCKEL D.O
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110-7613
Phone number: 505-291-5330
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Mailing Address
PAVEL JOHN NOCKEL D.O
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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