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1871703405
CAROL S CHAVEZ
ALBUQUERQUE, NM
NPI
1871703405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM 95-PA03)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- CAROL S CHAVEZ PA
1501 SAN PEDRO SE
ALBUQUERQUE, NM 87108
Phone number: 505-265-1711
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Mailing Address
-- CAROL S CHAVEZ PA
PO BOX 229
PERALTA, NM 87042-0229
Phone number: 505-866-1731
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