CLAY CHURCH

FARMINGTON, NM
NPI1083264592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NM  57227)
Enumeration Date2019-09-17
Last Update Date2019-09-17
Business Address
CLAY CHURCH NP
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-2000
Mailing Address
CLAY CHURCH NP
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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