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Individual

GILLIAN SOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
HWY 160 MP 394.3, KAYENTA, AZ 86033-0368
(217) 923-1998
(928) 697-4029
Mailing address
PO BOX 2443, KAYENTA, AZ 86033-2443
(217) 923-1998

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041393066
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060012
AZ
Enumeration date
01/22/2020
Last updated
01/22/2020
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