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Individual

CAROLYN KAY CARAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
546 N. 10TH ST., FORT SUMNER, NM 88119-0349
(575) 355-2414
(575) 355-7894
Mailing address
546 N 10TH STREET, FORT SUMNER, NM 88119-0349
(575) 355-2414
(575) 355-7894

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R56759
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092912701
TX
05
S702
NM
Enumeration date
09/27/2005
Last updated
08/11/2011
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