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1174718670
SHIRLEEN LONG
GALLUP, NM
NPI
1174718670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R58918)
Enumeration Date
2007-09-08
Last Update Date
2007-09-08
Business Address
-- SHIRLEEN LONG
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- SHIRLEEN LONG
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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