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Individual

PATRICK PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
10800 DENNIS CHAVEZ BLVD SW, ALBUQUERQUE, NM 87121-5498
(505) 243-1458
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R64935
NM

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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