DAVID J VANCE

GALLUP, NM
NPI1407122278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: KS  14-82778-041)
Enumeration Date2012-03-27
Last Update Date2012-03-27
Business Address
-- DAVID J VANCE RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1166
Mailing Address
-- DAVID J VANCE RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1166
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