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1497713408
MYRIAM ALLEN
GALLUP, NM
NPI
1497713408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NM 1628)
Enumeration Date
2006-05-02
Last Update Date
2007-07-09
Business Address
Mrs. MYRIAM ALLEN OTR.
1000 E.AZTEC AVE
GALLUP, NM 87301
Phone number: 505-721-1800
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Mailing Address
Mrs. MYRIAM ALLEN OTR.
937 E BUENA VISTA AVE APARTMENT B
GALLUP, NM 87301-5510
Phone number:
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