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1841241189
SOPHEAVY S PRAK
ALBUQUERQUE, NM
NPI
1841241189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM R37588)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
-- SOPHEAVY S PRAK CFNP
4808 MCMAHON BLVD NW
ALBUQUERQUE, NM 87114-5010
Phone number: 505-272-2900
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Mailing Address
-- SOPHEAVY S PRAK CFNP
99 CIELO AZUL
CORRALES, NM 87048-9631
Phone number: 505-890-6509
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