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Individual

THERESA ANN KURACINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-7619
(505) 248-7698
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-7619
(505) 248-7698

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
092
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14909367
NM
Enumeration date
11/28/2006
Last updated
06/24/2014
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