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Organization
MUSTANG MANAGEMENT GROUP TR
Active
Organization
MUSTANG MANAGEMENT GROUP TR
Active
Other names
On The Mend MH
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BLACKNALL DNP, PMHNP (OWNER)
(505) 316-5966
Entity
Organization
Contact information
Practice address
500 MARQUETTE AVE NW STE 1219, ALBUQUERQUE, NM 87102-5340
(505) 316-5966
(505) 422-4073
Mailing address
500 MARQUETTE AVE NW STE 1219, ALBUQUERQUE, NM 87102-5340
(505) 316-5966
(505) 422-4073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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