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Organization

NANULIA

Active
Other names
Passport Health New Mexico
Organization subpart
No

Provider details

NPI number
Authorized official
NANCI BALDWIN RN (CO-OWNER)
(505) 881-8785
Entity
Organization

Contact information

Practice address
1717 LOUISIANA BLVD NE, SUITE 212, ALBUQUERQUE, NM 87110-7001
(505) 881-8785
(505) 872-8785
Mailing address
1717 LOUISIANA BLVD NE, SUITE 212, ALBUQUERQUE, NM 87110-4058
(505) 881-8785

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
03-035189-008
NM

Other

Enumeration date
05/01/2007
Last updated
09/23/2010
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