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1629524111
MELISSA BENNETT
GALLUP, NM
NPI
1629524111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 753453)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- MELISSA BENNETT
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 550-722-1000
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Mailing Address
-- MELISSA BENNETT
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 550-722-1000
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