Individual
IRENE GAIL BAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
Mailing address
PO BOX 1339, WINSLOW, AZ 86047-1339
(928) 289-4646
(928) 289-6290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091373
AZ
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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