DONALD WARREN WICHMANN

SHIPROCK, NM
NPI1386628352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247100000X Radiologic Technologist
(Licence: CO  104439ARRT)
Enumeration Date2005-12-02
Last Update Date2007-07-08
Business Address
Mr. DONALD WARREN WICHMANN RT
US HIGHWAY 491 N
SHIPROCK, NM 87420
Phone number: 505-368-6020
Mailing Address
Mr. DONALD WARREN WICHMANN RT
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6020
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