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Individual

MRS. MARILYN STOCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
501 2ND ST SW, RIO RANCHO, NM 87124-3386
(505) 604-1008
Mailing address
PO BOX 45401, RIO RANCHO, NM 87174-5401
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
64749
NM

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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