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1982336319
WYATTE GORDON
ALBUQUERQUE, NM
NPI
1982336319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2023-0298)
Enumeration Date
2022-06-24
Last Update Date
2024-02-20
Business Address
WYATTE GORDON
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110-5412
Phone number: 505-724-4300
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Mailing Address
WYATTE GORDON
1221 PRINCETON DR NE
ALBUQUERQUE, NM 87106-2616
Phone number: 505-310-2434
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