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Individual

DENISE M MAYUGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
4588 PARADISE BLVD NW, ALBUQUERQUE, NM 87114-4105
(505) 997-1717
Mailing address
4588 PARADISE BLVD NW, ALBUQUERQUE, NM 87114-4105

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R51931
NM

Other

Enumeration date
08/03/2017
Last updated
08/03/2017
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