Gerald Glenn Nolan

NPI #1215239009 in Tucumcari, New Mexico

Provider Information

NPI Number: 1215239009
Entity Type: Individual
Name: Gerald Glenn Nolan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 30, 2010
Last Updated: Nov 30, 2010

Practice Location

Address: 1110 E HIGH ST
City: Tucumcari
State: New Mexico
ZIP Code: 88401-2510
Phone: (575) 461-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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