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1073854121
DAVID RICHARD
GALLUP, NM
NPI
1073854121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 187590)
Enumeration Date
2013-03-13
Last Update Date
2013-03-13
Business Address
Mr. DAVID RICHARD BSN, RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Mr. DAVID RICHARD BSN, RN
309 ROOSEVELT ST
JOHNSON CITY, TN 37601-2843
Phone number:
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