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1154953461
ROSELLE MONTESINO AVILA
GALLUP, NM
NPI
1154953461
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Former Name
ROSELLE AIZON MONTESINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse Emergency
(Licence: NM RN-81405)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
ROSELLE MONTESINO AVILA RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
ROSELLE MONTESINO AVILA RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Copy
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