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1356967921
AUTUMN COOPER
GALLUP, NM
NPI
1356967921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN163933)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
AUTUMN COOPER
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
AUTUMN COOPER
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Copy
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