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1508472705
REGINE FRANCINE PENDA EWANGA
GALLUP, NM
NPI
1508472705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse Emergency
(Licence: SC 240455)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
REGINE FRANCINE PENDA EWANGA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
REGINE FRANCINE PENDA EWANGA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number:
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