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Individual

PETER LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1617 BAYITA LN NW, ALBUQUERQUE, NM 87107-3320
(505) 604-4649
Mailing address
1617 BAYITA LN NW, ALBUQUERQUE, NM 87107-3320
(505) 604-4649

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
02/14/2016
Last updated
02/14/2016
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