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Individual

KARL CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Mailing address
4049 MERCURY CIR SE, ALBUQUERQUE, NM 87116-3022
(505) 990-6955

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58278
NM
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
58278
NM

Other

Enumeration date
02/07/2020
Last updated
02/07/2020
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