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Individual

MRS. BELINA AVNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
703 SOUTH CHRISTOPHER ROAD, BELEN, NM 87002-2617
(505) 864-7781
(505) 864-3360
Mailing address
703 SOUTH CHRISTOPHER ROAD, BELEN, NM 87002-2617
(505) 864-7781
(505) 864-3360

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102801
NC
363A00000X
Physician Assistant
Primary
PA2008-0062
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85125750
NM
Enumeration date
03/21/2007
Last updated
10/08/2009
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