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Organization

PUEBLO OF ZUNI AUDIOLOGY PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NORMAN COOEYATE (GOVERNOR OF ZUNI PUEBLO)
(505) 782-7022
Entity
Organization

Contact information

Practice address
1203B STATE HIGHWAY 53, ZUNI, NM 87327
(505) 782-7232
(505) 782-7241
Mailing address
PO BOX 339, ZUNI, NM 87327-0339
(505) 782-7232
(505) 782-7241

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
057
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96083867
NM
Enumeration date
01/27/2009
Last updated
01/27/2009
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