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1356810154
TINA LOUISE BENJAMIN
GALLUP, NM
NPI
1356810154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: IN 28174758A)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
TINA LOUISE BENJAMIN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
TINA LOUISE BENJAMIN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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