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Individual

ROBERT MARK NELSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10700 UNSER BLVD NW, ALBUQUERQUE, NM 87114-4640
(505) 792-1992
Mailing address
4221 BROADMOOR AVE NE, ALBUQUERQUE, NM 87108-1103
(505) 573-0441

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007720
NM

Other

Enumeration date
12/05/2011
Last updated
12/05/2011
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