Individual
KALEY SUSANNE DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
INDIAN ROUTE 7 & INDN ROUTE 12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26985
NC
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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