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1881947372
AMYLIA ASHLEY BLACK
FARMINGTON, NM
NPI
1881947372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM 90687)
Enumeration Date
2012-10-21
Last Update Date
2025-01-13
Business Address
AMYLIA ASHLEY BLACK CRNA
2300 E 30TH ST BLDG A
FARMINGTON, NM 87401-8991
Phone number: 505-564-2300
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Mailing Address
AMYLIA ASHLEY BLACK CRNA
3208 N COCHITI AVE
FARMINGTON, NM 87401-2052
Phone number: 435-459-9881
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