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Doctors / NM
OPTOMETRY
Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2025
NPI: 1194613968
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
516 E NIZHONI BLVD
GALLUP, NM 873015748
5057221000
Source: CMS National Downloadable File, September 2026.