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Individual

MRS. LYNDA GAYLE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7TH AND ELM, SAN JON, NM 88434
(575) 576-2466
Mailing address
PO BOX 5, SAN JON, NM 88434-0005
(575) 576-2466

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R46650
NM

Other

Enumeration date
12/11/2017
Last updated
03/17/2018
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