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Individual

RIVER SHANE FINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-3414
Mailing address
MSC08 4700 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-3414

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/31/2020
Last updated
10/31/2020
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