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Individual

DR. GAILAND RUTH DRAWHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., DMIN., MED.

Contact information

Practice address
1225 HANCOCK RD STE 301, BULLHEAD CITY, AZ 86442-5948
(928) 763-7008
(928) 758-4632
Mailing address
1225 HANCOCK RD STE 301, BULLHEAD CITY, AZ 86442-5948
(928) 763-7008
(928) 758-4632

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
WAITING FOR TEST DAT
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WAITING FOR NUMBER
ICAADA MEMBER (THIS IS A NEW BUSINESS. WE ARE IN THE PROCESS OF APPLYING TO ALL
IN
Enumeration date
04/28/2010
Last updated
04/28/2010
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