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1851686414
IAN VANDERWOUDE
ALBUQUERQUE, NM
NPI
1851686414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA2011-0015)
Enumeration Date
2011-06-12
Last Update Date
2011-06-12
Business Address
Mr. IAN VANDERWOUDE PA-C, MSPAS
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-5891
Phone number: 505-899-3933
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Mailing Address
Mr. IAN VANDERWOUDE PA-C, MSPAS
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-5891
Phone number: 505-899-3933
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