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1245393032
BERNADETTE DAYZIE
SANTO DOMINGO PUEBLO, NM
NPI
1245393032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CO 105014)
Enumeration Date
2006-12-19
Last Update Date
2021-12-02
Business Address
Ms. BERNADETTE DAYZIE CNP
KEWA PUEBLO HEALTH CORPORATION 85 W HWY 22
SANTO DOMINGO PUEBLO, NM 87052
Phone number: 505-465-3060
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Mailing Address
Ms. BERNADETTE DAYZIE CNP
PO BOX 340
SANTO DOMINGO PUEBLO, NM 87052-0340
Phone number: 505-465-3060
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