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Individual

CYNTHIA DARLENE EAKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
15221 ROAD 210, UNION, MS 39365-7078
(601) 781-7198

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
882754
MS

Other

Enumeration date
05/05/2020
Last updated
05/05/2020
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