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1720513161
LESLIE COLBAUGH
GALLUP, NM
NPI
1720513161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: TN 141852)
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- LESLIE COLBAUGH
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- LESLIE COLBAUGH
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number:
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