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Organization

REFORM ABQ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEE M CAGLEY (BILLING MANAGER)
(714) 421-9316
Entity
Organization

Contact information

Practice address
200 OAK ST NE STE 7, ALBUQUERQUE, NM 87106-4353
(505) 420-6979
Mailing address
200 OAK ST NE STE 7, ALBUQUERQUE, NM 87106-4353
(505) 420-6979

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
261Q00000X
Clinic/Center
261QM2500X
Medical Specialty Clinic/Center
Primary
364SF0001X
Family Health Clinical Nurse Specialist

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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