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1205150489
TANYA RAE SHORTY
GALLUP, NM
NPI
1205150489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM 70502)
Enumeration Date
2010-03-17
Last Update Date
2015-05-01
Business Address
-- TANYA RAE SHORTY RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- TANYA RAE SHORTY RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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