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1578757050
BRENDA NELLS
GALLUP, NM
NPI
1578757050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R44948)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
-- BRENDA NELLS RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1457
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Mailing Address
-- BRENDA NELLS RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1457
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