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Individual

MR. ROBERT YOUNG WHITTAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3200 MARBLE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-9732
Mailing address
3200 MARBLE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-9732

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R09544
NM
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R09544
NM

Other

Enumeration date
09/22/2009
Last updated
10/09/2014
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