Individual
MS. DIXIE K. DUNN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1833
Mailing address
3194 BLUE HILL AVE, GALLUP, NM 87301-6938
(505) 721-1833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2030
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84420880
—
NM
Enumeration date
03/10/2006
Last updated
07/09/2007
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