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1457401887
JERILENE MARIE VANN
GALLUP, NM
NPI
1457401887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: AZ RN069004)
Enumeration Date
2007-01-10
Last Update Date
2014-04-09
Business Address
-- JERILENE MARIE VANN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- JERILENE MARIE VANN RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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