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1114478716
MARIA LOURDES CLAVECILLA
GALLUP, NM
NPI
1114478716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NJ 26NR10380700)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- MARIA LOURDES CLAVECILLA RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
-- MARIA LOURDES CLAVECILLA RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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