MARYANN T PARK

GALLUP, NM
NPI1205437712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  041470436)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
MARYANN T PARK
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
MARYANN T PARK
PO BOX 966
JAMESTOWN, NM 87347-0966
Phone number: 708-466-2244
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