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MINDCARE SOLUTIONS OF NEW MEXICO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA THOMPSON (CLINICAL OP LICENSING CREDENTIALING)
(844) 291-4535
Entity
Organization

Contact information

Practice address
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(844) 291-4535
Mailing address
405 DUKE DR, SUITE 210, FRANKLIN, TN 37067-2706
(844) 291-4535

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
07/07/2015
Last updated
09/21/2016
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