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MARIAH LYNN CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
CORNER OF ROUTE 12 AND ROUTE 7, FORT DEFIANCE, AZ 86504
(928) 729-8600
Mailing address
1045 PATTON DR, GALLUP, NM 87301-7426
(505) 728-1492

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
60829
NM

Other

Enumeration date
12/08/2022
Last updated
12/08/2022
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