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1356587844
MARY LEE FERTIG
GALLUP, NM
NPI
1356587844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R43323)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
-- MARY LEE FERTIG RN
303 HIDDEN COVE CIR
GALLUP, NM 87301-5730
Phone number: 505-862-3697
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Mailing Address
-- MARY LEE FERTIG RN
303 HIDDEN COVE CIR
GALLUP, NM 87301-5730
Phone number: 505-862-3697
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