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1346858529
LISA GILBERT WIGINGTON
GALLUP, NM
NPI
1346858529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0102X Registered Nurse, Maternal Newborn
(Licence: MS R728152)
Enumeration Date
2020-07-14
Last Update Date
2020-07-14
Business Address
LISA GILBERT WIGINGTON
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LISA GILBERT WIGINGTON
204 WEST ST
BATESVILLE, MS 38606-1534
Phone number: 662-832-0543
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