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1245419597
FERN GONZALES
GALLUP, NM
NPI
1245419597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NM LO3434)
Enumeration Date
2007-11-02
Last Update Date
2007-11-02
Business Address
-- FERN GONZALES lpn
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- FERN GONZALES lpn
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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