Provider Demographics
NPI:1194008284
Name:DRANE, GAIL M (DOM)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:M
Last Name:DRANE
Suffix:
Gender:F
Credentials:DOM
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Mailing Address - Street 1:5429 OVERLOOK DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1878
Mailing Address - Country:US
Mailing Address - Phone:505-331-0168
Mailing Address - Fax:855-300-8478
Practice Address - Street 1:215 GOLD AVE SW
Practice Address - Street 2:SUITE 202-J
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3300
Practice Address - Country:US
Practice Address - Phone:505-331-0168
Practice Address - Fax:855-300-8478
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM1065171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist