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1164941621
JOHANNAH RENEE YAZZIE
SANTO DOMINGO PUEBLO, NM
NPI
1164941621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NM CNP-03377)
Enumeration Date
2017-09-15
Last Update Date
2024-10-18
Business Address
JOHANNAH RENEE YAZZIE CPNP-PC
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052-1283
Phone number: 505-465-3060
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Mailing Address
JOHANNAH RENEE YAZZIE CPNP-PC
PO BOX 340
SANTO DOMINGO PUEBLO, NM 87052-0340
Phone number: 505-465-3060
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