PHYLLIS PINE

GALLUP, NM
NPI1417174848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: NM  257139)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Ms. PHYLLIS PINE
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1800
Mailing Address
Ms. PHYLLIS PINE
222 NIZHONI BLVD APT E4
GALLUP, NM 87301-5764
Phone number: 505-793-2727
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