Individual
MRS. GWENDOLYN FRANCILLE MCCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
843 SAN MIGUEL, ALAMOGORDO, NM 88310-5360
(505) 443-1929
Mailing address
843 SAN MIGUEL, ALAMOGORDO, NM 88310-5360
(505) 443-1929
(505) 443-1929
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
163WG0000X
NM
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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