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Individual

MRS. AMY JOYCE GILBREATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
100 FRANKLIN ST., GRADY, NM 88120
(575) 576-2466
(575) 576-2772
Mailing address
PO BOX 5, SAN JON, NM 88434-0005
(575) 576-2466
(575) 576-2772

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
57171
NM

Other

Enumeration date
08/15/2019
Last updated
08/15/2019
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