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1164616009
MAURICIO MOTA
GALLUP, NM
NPI
1164616009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R47544)
Enumeration Date
2007-09-04
Last Update Date
2007-09-04
Business Address
Mr. MAURICIO MOTA RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 550-722-1000
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Mailing Address
Mr. MAURICIO MOTA RN
1406 COPPER AVE APT 7
GALLUP, NM 87301-6650
Phone number: 505-722-1000
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