GARRETT VANDERWATER

GALLUP, NM
NPI1720689136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: CO  1645507)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
GARRETT VANDERWATER
1808 W AZTEC AVE
GALLUP, NM 87301-6780
Phone number: 505-722-1000
Mailing Address
GARRETT VANDERWATER
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number:
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