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Individual

MRS. TINA T BUI-BURGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
85 WEST HIGHWAY 22, KEWA PUEBLO HEALTH CORPORATION, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3060
(505) 465-1191
Mailing address
PO BOX 340, KEWA PUEBLO HEALTH CORPORATION, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3060
(505) 465-1191

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01857
NM

Other

Enumeration date
10/21/2011
Last updated
05/07/2015
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