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Individual

SHANNON GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8082
(719) 589-8086
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
990648
CO

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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