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Individual

MONICA M. HASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 726-8671
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 726-8671

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-107997
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000Q5316
NM
Enumeration date
10/03/2006
Last updated
11/01/2011
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