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Individual

JOHN JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7801 ACADEMY RD NE, SUITE 4, ALBUQUERQUE, NM 87109-3379
(505) 272-2700
(505) 272-6308
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
86-069
NM

Other

Enumeration date
08/09/2005
Last updated
03/22/2017
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