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1932115540
CHARLES TAYLOR
ALBUQUERQUE, NM
NPI
1932115540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM 2001-PA34)
Enumeration Date
2006-08-01
Last Update Date
2017-03-22
Business Address
CHARLES TAYLOR
715 DR MARTIN LUTHER KING JR AVE NE SUITE 102
ALBUQUERQUE, NM 87102-3661
Phone number: 505-925-7469
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Mailing Address
CHARLES TAYLOR
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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