Individual
MS. DEBORAH POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 EAST NIZHONI BLVD, GALLUP, NM 87301
(505) 722-1000
(505) 722-1487
Mailing address
516 E. NIZHONI BLVD, GALLUP, NM 87301
(505) 722-1790
(505) 722-1487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN157409
AZ
Other
Enumeration date
06/11/2009
Last updated
06/11/2012
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