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Individual

KATHY I WINSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9101 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111
(505) 275-4288
(505) 275-4203
Mailing address
6090 REDWOOD BLVD, SUITE A, MARIN COMMUNITY CLINIC, NOVATO, CA 94945
(505) 232-1920
(505) 727-9276

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87167
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
754820
NM
Enumeration date
07/08/2006
Last updated
01/11/2012
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