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1821424219
ANNA E KNACKSTEDT
ALBUQUERQUE, NM
NPI
1821424219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2013-09-18
Last Update Date
2018-05-22
Business Address
-- ANNA E KNACKSTEDT P.A.
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102-2372
Phone number: 505-242-3991
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Mailing Address
-- ANNA E KNACKSTEDT P.A.
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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