JACKIE L BERKLEY

GALLUP, NM
NPI1033456686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  041270126)
Enumeration Date2013-01-15
Last Update Date2013-01-15
Business Address
-- JACKIE L BERKLEY RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Mailing Address
-- JACKIE L BERKLEY RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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