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1154515872
LAURA TUCKER
GALLUP, NM
NPI
1154515872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: NM R43952)
Enumeration Date
2007-09-06
Last Update Date
2007-09-06
Business Address
-- LAURA TUCKER
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- LAURA TUCKER
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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