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1871086744
ZACHERY DEE SCANLAN
FARMINGTON, NM
NPI
1871086744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM CRNA-01552)
Enumeration Date
2018-06-14
Last Update Date
2018-07-17
Business Address
ZACHERY DEE SCANLAN CRNA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-2000
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Mailing Address
ZACHERY DEE SCANLAN CRNA
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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