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1538160213
KELLY A JOHNSON
GALLUP, NM
NPI
1538160213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 112091)
Enumeration Date
2005-08-03
Last Update Date
2012-08-03
Business Address
Ms. KELLY A JOHNSON RN
516 NIZHONI BLVD
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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Mailing Address
Ms. KELLY A JOHNSON RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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