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Individual

AMANDA G DURBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
N7, CORNER OF ROUTES N12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
2315 TOMPIRO DR NW, ALBUQUERQUE, NM 87120-1377
(870) 378-3243

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP-4258
AR
2279C0205X
Critical Care Registered Respiratory Therapist
RCP-4258
AR

Other

Enumeration date
07/09/2021
Last updated
08/03/2021
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