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Cole Dillon Cruchon, RN

Registered Nurse, Nurse Massage Therapist (NMT) in Gallup, NM. Individual provider (NPI-1).

NPI number1053225599
StatusActive
Last updated in NPPESOct 1, 2026

Details

NPI
1053225599
Entity type
Individual (NPI-1)
Name
Cole Dillon Cruchon
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 1, 2026
Certification date
Oct 1, 2026
Last updated
Oct 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WM1400X Registered Nurse, Nurse Massage Therapist (NMT)230509OKYes

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Phone 505-722-1000

Mailing address

608 E Princeton Ave
Gallup, NM 87301-5042

Phone 918-606-5652

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