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1104397678
LOUISE LEWELLYNN POUSSON
GALLUP, NM
NPI
1104397678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL 9381109)
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
Mrs. LOUISE LEWELLYNN POUSSON RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
Mrs. LOUISE LEWELLYNN POUSSON RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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