Provider Information for 1598792335
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SHARI COX
Sex: Female
NPI: 1598792335
Last Updated: 2007-07-09
Certification Date:
Certification Date:
Details
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NPI | 1598792335 | ||||||||||||
Enumeration Date | 2006-06-27 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 2921 CARLISLE BLVD NE SUITE 111 ALBUQUERQUE, NM 87110-2865 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 2921 CARLISLE BLVD NE SUITE 111 ALBUQUERQUE, NM 87110-2865 United States Phone: 505-249-5647 | Fax: | ||||||||||||
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