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1275211757
GWEN LEE LOPEZ
GALLUP, NM
NPI
1275211757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN112881)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
GWEN LEE LOPEZ
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
GWEN LEE LOPEZ
1575 COLBERT MOUNTAIN RD
BLUE RIDGE, GA 30513-5201
Phone number: 770-655-5372
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