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1912270463
KEISHA MARCELLE MANNAS
ALBUQUERQUE, NM
NPI
1912270463
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Former Name
KEISHA MARCELLE WOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2012-0002)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
KEISHA MARCELLE MANNAS PA-C
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2745
Phone number: 505-272-2111
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Mailing Address
KEISHA MARCELLE MANNAS PA-C
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3200
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