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1134707771
CATHERINE BAUTISTA TAN
GALLUP, NM
NPI
1134707771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2020010755)
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
CATHERINE BAUTISTA TAN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
CATHERINE BAUTISTA TAN
3725 MAYA DR
GALLUP, NM 87301-4560
Phone number: 754-308-1294
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