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Individual

MARY FAVERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 STEPHEN MOODY ST SE, ALBUQUERQUE, NM 87123-1994
(505) 271-3060
Mailing address
PO BOX 10137, ALBUQUERQUE, NM 87184-0138

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R30634
NM

Other

Enumeration date
01/04/2018
Last updated
01/04/2018
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