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Organization

ACADEMY OF TRADES AND TECHNOLOGY SBHC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BONNIE KAUFMAN (NURSE)
(505) 765-5517
Entity
Organization

Contact information

Practice address
1718 YALE BLVD SE, ALBUQUERQUE, NM 87106-4136
(505) 765-5517
Mailing address
1718 YALE BLVD SE, ALBUQUERQUE, NM 87106-4136
(505) 765-5517

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NM
291U00000X
Clinical Medical Laboratory
NM
3336C0002X
Clinic Pharmacy
NM

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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