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1306464284
LAVADA KING
GALLUP, NM
NPI
1306464284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse Medical-Surgical
(Licence: GA RN236246)
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
LAVADA KING RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LAVADA KING RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 555-722-1000
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