ETHAN FAHRNEY

SHIPROCK, NM
NPI1417517533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: DE  U1-0002030)
Enumeration Date2019-06-20
Last Update Date2020-06-29
Business Address
ETHAN FAHRNEY
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
Mailing Address
ETHAN FAHRNEY
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
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