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Individual

MR. JOHN NMI DINAE JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ARRT RTR

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6020
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6020
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
241639

Other

Enumeration date
12/07/2005
Last updated
07/08/2007
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