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Organization

FORT SUMNER SCHOOLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE ALICE DICKERMAN REGISTERED NURSE (SCHOOL NURSE)
(575) 355-7766
Entity
Organization

Contact information

Practice address
262 SOUTH 9TH STREET, ELEMENTARY SCHOOL BUILDING, FORT SUMNER, NM 88119-9316
(575) 355-7716
(575) 355-6002
Mailing address
765 EAST SUMNER AVENUE, FORT SUMNER, NM 88119
(575) 355-7766
(575) 355-6002

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R28287
NM

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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