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1407437163
SHAWN WADE ARCHER
GALLUP, NM
NPI
1407437163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: OH RN438865)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
SHAWN WADE ARCHER
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
SHAWN WADE ARCHER
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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