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1477141463
ASTRA SUROM
GALLUP, NM
NPI
1477141463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: AR 094165)
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
ASTRA SUROM
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
ASTRA SUROM
PO BOX 1832
BENTONVILLE, AR 72712-1832
Phone number: 479-276-0985
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