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1013457688
BOADY KERVIN
GALLUP, NM
NPI
1013457688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: AL 1-061414)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- BOADY KERVIN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- BOADY KERVIN
516 E NIZHONI BLVD.
GALLUP, NM 87301
Phone number: 505-722-1000
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