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Individual

MR. PAUL NMN AVALOS, JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
11808 TRACY CT., NE, ALBUQUERQUE, NM 87111-4014
(505) 296-0533

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R34764
NM

Other

Enumeration date
08/24/2006
Last updated
10/29/2008
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