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1023118056
IRIS R KOVACH
GALLUP, NM
NPI
1023118056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NH 056966-23-11)
Enumeration Date
2006-09-22
Last Update Date
2010-07-30
Business Address
-- IRIS R KOVACH CRNA
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Phone number: 505-722-1000
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Mailing Address
-- IRIS R KOVACH CRNA
P.O. BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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