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Individual

MISS SHANNON ALBINA LUJAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
230 ROTTEN TREE ROAD, TAOS, NM 87571
(575) 758-7824
Mailing address
P.O BOX 161, TAOS, NM 87571
(575) 770-5626

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R64779
NM

Other

Enumeration date
05/26/2015
Last updated
05/26/2015
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