Individual
SUSAN O. DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/CNM
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1320
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90715
OK
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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