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LOVETTE AGATHA AGBOMMA NDUBISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
SOUTH BROADWAY HEALTH CENTER, 1401 WILIAM ST SE, ALBUQUERQUE, NM 87105-5153
(505) 768-5450
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
72285
NM

Other

Enumeration date
02/06/2023
Last updated
03/13/2024
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