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1962753400
YANCEY NATIVIDAD
FARMINGTON, NM
NPI
1962753400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NM RP00007352)
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
Dr. YANCEY NATIVIDAD
600 E 20TH ST
FARMINGTON, NM 87401-2108
Phone number: 505-325-1774
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Mailing Address
Dr. YANCEY NATIVIDAD
600 E 20TH ST
FARMINGTON, NM 87401-2108
Phone number: 505-325-1774
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