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Individual

QUITO OSUNA CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
717 ENCINO PL NE, SUITE 12, ALBUQUERQUE, NM 87102-2611
(505) 242-5373
(505) 242-1221
Mailing address
717 ENCINO PL NE, SUITE 12, ALBUQUERQUE, NM 87102-2611
(505) 242-5373
(505) 242-1221

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74 274
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02659
NM
Enumeration date
08/05/2006
Last updated
04/08/2014
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