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1386252583
MICHAEL J ASHLOCK
GALLUP, NM
NPI
1386252583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CA CA95089825)
Enumeration Date
2020-07-14
Last Update Date
2020-07-14
Business Address
MICHAEL J ASHLOCK RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
MICHAEL J ASHLOCK RN
18425 BURBANK BLVD STE 508
TARZANA, CA 91356-6692
Phone number:
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