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1023714847
JAMIE SHANNON TOM
GALLUP, NM
NPI
1023714847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM 64645)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
JAMIE SHANNON TOM RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
JAMIE SHANNON TOM RN
204 CRESTWOOD CT
GALLUP, NM 87301-7120
Phone number: 808-352-1128
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