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1477820124
TRISTAN S BOLEN
GALLUP, NM
NPI
1477820124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 755696)
Enumeration Date
2011-11-23
Last Update Date
2011-11-23
Business Address
-- TRISTAN S BOLEN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1254
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Mailing Address
-- TRISTAN S BOLEN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1254
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