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1225500440
LARRY HARDEN LYBBERT
GALLUP, NM
NPI
1225500440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: AZ RN149997)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
LARRY HARDEN LYBBERT
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LARRY HARDEN LYBBERT
PO BOX 1337
GALLUP, NM 87305-1337
Phone number:
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