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1689444804
LOURDEMAR IBARRA MIRANDA
GALLUP, NM
NPI
1689444804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL 9422794)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
LOURDEMAR IBARRA MIRANDA RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
LOURDEMAR IBARRA MIRANDA RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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