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1316293129
TERRY ALLEN CHAVEZ
GALLUP, NM
NPI
1316293129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R18234)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- TERRY ALLEN CHAVEZ RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- TERRY ALLEN CHAVEZ RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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