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1669297180
DIANA TRACIE WAYBENAIS
GALLUP, NM
NPI
1669297180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM 90349)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
DIANA TRACIE WAYBENAIS RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
DIANA TRACIE WAYBENAIS RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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