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1912586074
MICAH VIVENS
ALBUQUERQUE, NM
NPI
1912586074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-06
Last Update Date
2021-04-06
Business Address
MICAH VIVENS MD
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4161
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Mailing Address
MICAH VIVENS MD
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4161
Copy
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