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Individual

DYAN CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
Mailing address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
(505) 326-2939

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
653486
TX

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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