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Individual

MARJORIE S KOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
602 AVENIDA CELAYA, SANTA FE, NM 87506-3439
(505) 690-4281
Mailing address
PO BOX 2006, SANTA FE, NM 87504-2006
(505) 690-4281

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R29654
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
406178100
MD
Enumeration date
04/14/2006
Last updated
10/14/2011
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