MILDRED LINCOLN

GALLUP, NM
NPI1780899203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NM  LD-0658)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- MILDRED LINCOLN RD
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Phone number: 505-722-1282
Mailing Address
-- MILDRED LINCOLN RD
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1282
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