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1215407200
JOHN PATRICK CANNISTRARO
GALLUP, NM
NPI
1215407200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN184591)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
JOHN PATRICK CANNISTRARO Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
JOHN PATRICK CANNISTRARO Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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