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1356337893
GAYLORD V SWAN
ESPANOLA, NM
NPI
1356337893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: NM 83-316)
Enumeration Date
2005-09-20
Last Update Date
2008-08-14
Business Address
GAYLORD V SWAN MD
ESPANOLA MULTI-SPECIALTY CLINIC 1010 SPRUCE ST
ESPANOLA, NM 87532
Phone number: 505-367-0340
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Mailing Address
GAYLORD V SWAN MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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