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1700198496
IONA MARIE ELLSWORTH-JENSEN
GALLUP, NM
NPI
1700198496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001198594)
Enumeration Date
2010-07-09
Last Update Date
2010-07-09
Business Address
-- IONA MARIE ELLSWORTH-JENSEN RNBS
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- IONA MARIE ELLSWORTH-JENSEN RNBS
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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