Individual
JOLENE COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 ROBERT RD, GRANTS, NM 97021
(505) 285-3378
Mailing address
PO BOX 3209, MILAN, NM 87021-3209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006913
NM
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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