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Individual

MR. DANA WINGFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASE MANAGER

Contact information

Practice address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-2832
Mailing address
40 CALLE DE COSMO, TAOS, NM 87571
(575) 751-3322

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/24/2009
Last updated
06/24/2009
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