Individual
VICTORIA L MAGOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4263 MONTGOMERY BLVD NE, #200, ALBUQUERQUE, NM 87109-6747
(505) 872-3100
(505) 872-2600
Mailing address
4263 MONTGOMERY BLVD NE, #200, ALBUQUERQUE, NM 87109-6747
(505) 872-3100
(505) 872-2600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4498
NM
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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