MICHELE HANNAGAN

CLOVIS, NM
NPI1083708465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  A-112799)
Enumeration Date2006-10-03
Last Update Date2008-08-14
Business Address
MICHELE HANNAGAN DO
PLAINS REGIONAL MEDICAL GROUP 2200 W 21ST ST
CLOVIS, NM 88101
Phone number: 575-769-7577
Mailing Address
MICHELE HANNAGAN DO
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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