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Individual

KATHERINE FRAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 324-9840
Mailing address
7350 OLD AZTEC HWY, FARMINGTON, NM 87402-5112

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R60444
NM

Other

Enumeration date
08/15/2022
Last updated
08/15/2022
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