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Gwendolyn Lee Hall Cnm Inc
Health Service Clinic/Center in Snowflake, Arizona
NPI 1326170317

Gwendolyn Lee Hall Cnm Inc is a Health Service Clinic/Center based in Overgaard, AZ and is specialized in Health Service. Gwendolyn Lee Hall Cnm Inc practices in Snowflake, AZ. The NPI Number for Gwendolyn Lee Hall Cnm Inc is 1326170317 and holds a License No. AP0244 (Arizona).

The current practice location address for Gwendolyn Lee Hall Cnm Inc is 261 S Main St, Snowflake, AZ and can be reached out via phone at 928-536-5377 and via fax at 928-536-5377.

Location: 261 S Main St, Snowflake, AZ, 85933-0617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326170317
Provider Name
Gwendolyn Lee Hall Cnm Inc
Credential
Provider Entity Type
Organization
Address
261 S Main St, Snowflake, AZ, 85933-0617
Phone Number
928-536-5377
Fax Number
928-536-5377
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490467 05 AZ
institution
Provider Business Practice Location Address Details
Address
261 S Main St
City
Snowflake
State
Arizona
Zip
85937-5316
Phone Number
928-536-5377
Fax Number
928-536-5377
person
Provider Business Mailing Address Details
Address
261 S Main St
City
Snowflake
State
Arizona
Zip
85937-5316
Phone Number
928-536-5377
Fax Number
928-536-5377
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
AP0244 (Arizona)
Definition
Definition to come...
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