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1841524006
MARIE L BENSULOCK
ALBUQUERQUE, NM
NPI
1841524006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA2008-0001)
Enumeration Date
2009-09-21
Last Update Date
2009-09-21
Business Address
-- MARIE L BENSULOCK PA-C
803 TIJERAS AVE NW
ALBUQUERQUE, NM 87102-3096
Phone number: 505-243-2223
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Mailing Address
-- MARIE L BENSULOCK PA-C
8100 BARSTOW ST NE APT 13104
ALBUQUERQUE, NM 87122-2876
Phone number: 505-508-0701
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