KELLI R EDNIE

SHIPROCK, NM
NPI1154995645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5237506)
Enumeration Date2021-05-18
Last Update Date2021-05-18
Business Address
KELLI R EDNIE
US HWY 64 OLD HIGH SCHOOL RD
SHIPROCK, NM 87420-1199
Phone number: 505-368-5163
Mailing Address
KELLI R EDNIE
PO BOX 1199
SHIPROCK, NM 87420-1199
Phone number: 505-368-5163
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