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Individual

MRS. QIANA LASHUN COFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN

Contact information

Practice address
516 E. NIZHONI BLVD, GALLUP, NM 87301-1337
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
133512
TN

Other

Enumeration date
05/04/2006
Last updated
09/18/2013
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