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1720489933
MELISSA PENN
GALLUP, NM
NPI
1720489933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: KY 3008763)
Enumeration Date
2014-09-07
Last Update Date
2014-09-07
Business Address
-- MELISSA PENN CNM
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- MELISSA PENN CNM
516A W MESA AVE
GALLUP, NM 87301-6466
Phone number: 502-327-0108
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