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1992787824
MICHAEL SERVILLA
RIO RANCHO, NM
NPI
1992787824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NM CNP000487)
Enumeration Date
2005-11-16
Last Update Date
2016-12-22
Business Address
MICHAEL SERVILLA CFNP
1001 NM 528 SE CVS/MINUTECLINIC
RIO RANCHO, NM 87124
Phone number: 866-389-2727
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Mailing Address
MICHAEL SERVILLA CFNP
14 SUMPTION RD
SANDIA PARK, NM 87047-9456
Phone number: 505-407-4855
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