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Individual

DEBORAH WOZNIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.M.

Contact information

Practice address
6501 4TH ST NW, SUITE E, ALBUQUERQUE, NM 87107-5800
(505) 250-7173
Mailing address
520 14TH ST NW, ALBUQUERQUE, NM 87104-1322
(505) 250-7173

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
621
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM00R97E
BLUE CROSS BLUE SHIELD
NM
Enumeration date
08/19/2006
Last updated
07/08/2007
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