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1447722657
RYAN STURGES BOZZELL
FARMINGTON, NM
NPI
1447722657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NM 54843)
Enumeration Date
2018-12-28
Last Update Date
2019-03-21
Business Address
RYAN STURGES BOZZELL
407 S SCHWARTZ AVE STE 201
FARMINGTON, NM 87401-5925
Phone number: 505-609-6730
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Mailing Address
RYAN STURGES BOZZELL
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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