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Randy Ko

Student in an Organized Health Care Education/Training Program in Albuquerque, NM. Individual provider (NPI-1).

NPI number1215768668
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1215768668
Entity type
Individual (NPI-1)
Name
Randy Ko
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2024
Certification date
Aug 8, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719

Phone 505-272-3414

Mailing address

Msc08 4700 1 University Of New Mexico
Albuquerque, NM 87131-0001

Phone 505-272-3414

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