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1285262196
ELLEN ROBERTA EMBICK
SHIPROCK, NM
NPI
1285262196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2023-1030)
Enumeration Date
2020-03-28
Last Update Date
2023-07-17
Business Address
Dr. ELLEN ROBERTA EMBICK MD
US-491
SHIPROCK, NM 87420
Phone number: 505-368-6001
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Mailing Address
Dr. ELLEN ROBERTA EMBICK MD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
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