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Organization

GOLDEN SPREAD RURAL FRONTIER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANA MORRIS (DIRECTOR)
(505) 374-6207
Entity
Organization

Contact information

Practice address
113 WALNUT ST, CLAYTON, NM 88415-3049
(505) 374-6207
(505) 374-0566
Mailing address
PO BOX 96, CLAYTON, NM 88415-0096
(505) 374-6207
(505) 374-0566

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
02-381344-00-0
NM

Other

Enumeration date
01/02/2007
Last updated
08/22/2020
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