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1497523963
ANYSHA GUSTAFSON
FARMINGTON, NM
NPI
1497523963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 77089)
Enumeration Date
2023-12-14
Last Update Date
2024-11-08
Business Address
ANYSHA GUSTAFSON FNP-C
656 W MAPLE ST
FARMINGTON, NM 87401-5968
Phone number: 505-609-2290
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Mailing Address
ANYSHA GUSTAFSON FNP-C
PO BOX 844088
DALLAS, TX 75284-4088
Phone number: 505-609-2258
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