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1679188676
JORDAN ASHLEY IDE
GALLUP, NM
NPI
1679188676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: NM 60565)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
JORDAN ASHLEY IDE
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
JORDAN ASHLEY IDE
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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