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1245987767
KELLY HAMILTON
SHIPROCK, NM
NPI
1245987767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NM L18503)
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
KELLY HAMILTON
US HWY 64 OLD HIGH SCHOOL RD
SHIPROCK, NM 87420-8742
Phone number: 505-368-5163
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Mailing Address
KELLY HAMILTON
PO BOX 1199
SHIPROCK, NM 87420-1199
Phone number: 505-368-5163
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