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NPI Code Detail

MEDICARE: MRS. JOANN K GABALDON-SAUTER

MEDICARE: MRS. JOANN K GABALDON-SAUTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5428NM

General Provider Information

NPI Number : 1821321464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANN K GABALDON-SAUTER
Provider Business Mailing Address
First Line : 4051 SOUTHERN BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-2069
Country : US
Telephone Number : 505-892-6690
Fax Number : 505-892-8244
Provider Business Practice Location Address
First Line : 4051 SOUTHERN BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-2069
Country : US
Telephone Number : 505-892-6690
Fax Number : 505-892-8244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2009
Last Update Date : 09/15/2009

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Directions to “ MRS. JOANN K GABALDON-SAUTER ” Practice Location

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