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1104339621
LUIS ORLANDO GASCA
GALLUP, NM
NPI
1104339621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 231184)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
LUIS ORLANDO GASCA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
LUIS ORLANDO GASCA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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