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Organization

ALBUQUERQUE VAMC

Active
Other names
RIO RANCHO VA CBOC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization

Contact information

Practice address
1760 GRANDE BLVD SE, RIO RANCHO, NM 87124-1726
(702) 341-3152
Mailing address
PO BOX 89495, CLEVELAND, OH 44101-6495
(702) 341-3152

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
05/01/2012
Last updated
10/31/2017
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