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1508040270
NANCY A BLACK
GALLUP, NM
NPI
1508040270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NM L13493)
Enumeration Date
2007-12-18
Last Update Date
2007-12-18
Business Address
NANCY A BLACK LPN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
NANCY A BLACK LPN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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