MIRIAM V FOSSUM

GALLUP, NM
NPI1154578508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NM  r36904)
Enumeration Date2008-08-27
Last Update Date2008-08-27
Business Address
-- MIRIAM V FOSSUM RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- MIRIAM V FOSSUM RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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