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1720735749
RUSSELL ROBERT KRUSE
GALLUP, NM
NPI
1720735749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN179845)
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
RUSSELL ROBERT KRUSE
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
RUSSELL ROBERT KRUSE
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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