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1922080621
MARK EDWARD UNVERZAGT
ALBUQUERQUE, NM
NPI
1922080621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 91-336)
Enumeration Date
2005-11-17
Last Update Date
2011-06-06
Business Address
-- MARK EDWARD UNVERZAGT M.D.
925 COAL AVE SW
ALBUQUERQUE, NM 87102-3743
Phone number: 505-246-1670
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Mailing Address
-- MARK EDWARD UNVERZAGT M.D.
PO BOX 313
ALBUQUERQUE, NM 87103-0313
Phone number: 505-245-1670
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