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1619346558
RONALD JOSAFAT
GALLUP, NM
NPI
1619346558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R38054)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
-- RONALD JOSAFAT
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- RONALD JOSAFAT
PO BOX 1337
GALLUP, NM 87305-1337
Phone number:
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