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Organization

GIFTED HANDS SURGICAL ASSISTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYDELL POWELL CSFA (PRESIDENT/CEO)
(505) 360-7709
Entity
Organization

Contact information

Practice address
1897 HOLLYHOCK CIR, FARMINGTON, NM 87401-4701
(505) 360-7709
Mailing address
1897 HOLLYHOCK CIR, FARMINGTON, NM 87401-4701
(505) 360-7709

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
07/24/2017
Last updated
01/24/2024
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