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1093283863
DANIEL EDWARD FENTON
GRANTS, NM
NPI
1093283863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM RN-70242)
Enumeration Date
2018-11-09
Last Update Date
2022-10-11
Business Address
DANIEL EDWARD FENTON FNP-C
801 E ROOSEVELT AVE
GRANTS, NM 87020-2115
Phone number: 505-658-1347
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Mailing Address
DANIEL EDWARD FENTON FNP-C
824 HOUSTON AVE
GRANTS, NM 87020-3017
Phone number: 505-315-1162
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