RUSSELL ROBERT KRUSE

GALLUP, NM
NPI1720735749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RN179845)
Enumeration Date2022-03-09
Last Update Date2022-03-09
Business Address
RUSSELL ROBERT KRUSE
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
RUSSELL ROBERT KRUSE
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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