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Organization
HEALTH QUEST WELLNESS JOURNAL CENTER LLC
Active
Organization
HEALTH QUEST WELLNESS JOURNAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN R MINER DC (PRESIDENT)
(505) 343-6120
Entity
Organization
Contact information
Practice address
3824 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 343-6120
Mailing address
PO BOX 95767, ALBUQUERQUE, NM 87199-5767
(505) 343-6120
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1619
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427063882
NPI
NM
Enumeration date
10/08/2013
Last updated
10/08/2013
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