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Individual

MARY E TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
PMG CEDAR NEUROSURGERY, 201 CEDAR SE, ALBUQUERQUE, NM 87106
(505) 563-6399
(505) 563-6680
Mailing address
500 WALTER ST NE, STE 401, LOVELACE NEUROSCIENCE CENTER, ALBUQUERQUE, NM 87102-2563
(505) 727-5910

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
R32902
NM
363L00000X
Nurse Practitioner
Primary
CNP00677
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83251065
NM
Enumeration date
07/11/2006
Last updated
09/11/2019
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