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1003260415
ALICE SMITH
GALLUP, NM
NPI
1003260415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 705393)
Enumeration Date
2016-04-21
Last Update Date
2016-04-21
Business Address
-- ALICE SMITH rn
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
-- ALICE SMITH rn
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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