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Carol Coomer

Registered Nurse, Emergency in Gallup, NM. Individual provider (NPI-1).

NPI number1669906319
StatusActive
Last updated in NPPESApr 19, 2017

Details

NPI
1669906319
Entity type
Individual (NPI-1)
Name
Carol Coomer
Sex
Female
Sole proprietor
No
Enumeration date
Apr 19, 2017
Last updated
Apr 19, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WE0003X Registered Nurse, Emergency1079179KYYes

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Phone 505-722-1000

Mailing address

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Phone 505-722-1000

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