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1356695845
JAMES HARTZOG
GALLUP, NM
NPI
1356695845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9285634)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
-- JAMES HARTZOG RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
-- JAMES HARTZOG RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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