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1659565711
FERN S. DETSOI
GALLUP, NM
NPI
1659565711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R17387)
Enumeration Date
2007-08-31
Last Update Date
2007-08-31
Business Address
-- FERN S. DETSOI
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1480
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Mailing Address
-- FERN S. DETSOI
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1480
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