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1407422132
KRISTINE DE VERA
GALLUP, NM
NPI
1407422132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA 211254)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
KRISTINE DE VERA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
KRISTINE DE VERA
15164 N 140TH DR APT 2102
SURPRISE, AZ 85379-8576
Phone number: 505-399-9588
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