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1912912478
TAMARA KODIS
ALBUQUERQUE, NM
NPI
1912912478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NM 92-142)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
TAMARA KODIS MD
MENTAL HEALTH CTR 2600 MARBLE NE
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-6130
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Mailing Address
TAMARA KODIS MD
2600 MARBLE NE MSC09 5030
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-6130
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