Individual
STUART GACHUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
110 SHEEP SPRINGS, JEMEZ PUEBLO, NM 87024-0279
(575) 834-7258
(575) 834-9507
Mailing address
110 SHEEP SPRINGS, JEMEZ PUEBLO, NM 87024-0279
(575) 834-7258
(575) 834-9507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
581
NM
Other
Enumeration date
05/01/2019
Last updated
06/23/2020
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