WALI ABDUSH-SHAKUR

SANTA FE, NM
NPI1902038458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NM  R65082)
Enumeration Date2009-08-18
Last Update Date2009-08-18
Business Address
Mr. WALI ABDUSH-SHAKUR nurse
2001 CHAMISA ST
SANTA FE, NM 87505-3441
Phone number: 505-982-2129
Mailing Address
Mr. WALI ABDUSH-SHAKUR nurse
2001 CHAMISA ST
SANTA FE, NM 87505-3441
Phone number: 505-982-2129
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