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1184193989
JUSTIN R PAUL
GALLUP, NM
NPI
1184193989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: WI 221656)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
Mr. JUSTIN R PAUL RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Mr. JUSTIN R PAUL RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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