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Individual

MISS AURELIA LOUISE STALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
6349 HIGHWAY 550, CHECKERBOARD AREA HEALTH SYSTEM, CUBA, NM 87013
(505) 289-3291
(505) 289-3648
Mailing address
PO BOX 2857, RANCHOS DE TAOS, NM 87557
(505) 751-4689
(505) 289-3648

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R31793
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q0165
NM
Enumeration date
07/11/2006
Last updated
07/08/2007
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