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1720674807
RICARDO YAMUEL NIEVES ROSA
GALLUP, NM
NPI
1720674807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: PR 083886)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
Mr. RICARDO YAMUEL NIEVES ROSA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Mr. RICARDO YAMUEL NIEVES ROSA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Copy
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