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Organization

SANDIA NATIONAL LABORATORIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL HOMMERT (PRESIDENT)
(505) 844-7261
Entity
Organization

Contact information

Practice address
1515 EUBANK BLVD SE BLDG. 831/832, ALBUQUERQUE, NM 87185-1019
(505) 844-4237
Mailing address
1515 EUBANK BLVD SE BLDG. 831/832, ALBUQUERQUE, NM 87185-1019

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
02/05/2015
Last updated
02/05/2015
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