GLYNDA MAE DALLAS

CLOVIS, NM
NPI1255383261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NM  R47073)
Enumeration Date2006-05-17
Last Update Date2012-02-29
Business Address
-- GLYNDA MAE DALLAS CNP
2000 W 21ST ST #A-1
CLOVIS, NM 88101-4087
Phone number: 575-762-8055
Mailing Address
-- GLYNDA MAE DALLAS CNP
2000 W 21ST ST SUITE A-1
CLOVIS, NM 88101-4087
Phone number: 575-762-8055
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