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1932648383
JEFFERY MICHAEL MEDINA
SANTA FE, NM
NPI
1932648383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: NM RN-81127)
Enumeration Date
2017-02-17
Last Update Date
2017-02-17
Business Address
-- JEFFERY MICHAEL MEDINA RN
455 SAINT MICHAELS DR
SANTA FE, NM 87505-7601
Phone number: 505-913-5503
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Mailing Address
-- JEFFERY MICHAEL MEDINA RN
4241 HOWLING WOLF LN
SANTA FE, NM 87507-0815
Phone number: 505-515-4295
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