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Individual

ROSE ANN KAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R PH

Contact information

Practice address
6565 PARADISE BLVD NW, ALBUQUERQUE, NM 87114-1467
(505) 217-0983
Mailing address
203 OLGUIN RD, CORRALES, NM 87048-6932
(505) 897-4905

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4946
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000004946
NM
Enumeration date
09/30/2009
Last updated
09/30/2009
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