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1477077345
CHARISSE BUCHANAN
GALLUP, NM
NPI
1477077345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NM CNP-03322)
Enumeration Date
2017-08-01
Last Update Date
2024-11-13
Business Address
CHARISSE BUCHANAN AG-NP-C
2111 COLLEGE DR
GALLUP, NM 87301-5600
Phone number: 505-863-1820
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Mailing Address
CHARISSE BUCHANAN AG-NP-C
4601 COLLEGE BLVD
FARMINGTON, NM 87402-4699
Phone number:
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