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Individual

ROSE MARIE VIGIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
Mailing address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L11258
NM

Other

Enumeration date
01/14/2020
Last updated
01/14/2020
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