DESIDERIO JAY DEZ

GALLUP, NM
NPI1538456702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NM  RN-73190)
Enumeration Date2011-07-07
Last Update Date2011-07-07
Business Address
-- DESIDERIO JAY DEZ RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- DESIDERIO JAY DEZ RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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