Provider Information for 1366042814
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Prof. BARBARA GORMLEY PhD
Sex: Female
NPI: 1366042814
Last Updated: 2020-10-26
Certification Date: 2020-10-26
Certification Date: 2020-10-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366042814 | ||||||||
| Enumeration Date | 2020-10-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 501 N ROADRUNNER PKWY APT 1901 LAS CRUCES, NM 88011-2023 United States Phone: 404-353-6797 | Fax: | ||||||||
| Primary Practice Address | 501 N ROADRUNNER PKWY APT 1901 LAS CRUCES, NM 88011-2023 United States Phone: 404-353-6797 | Fax: | ||||||||
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