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1730363359
ISMARIE RIVERA- MCLAT
GALLUP, NM
NPI
1730363359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PR 22471)
Enumeration Date
2007-12-18
Last Update Date
2007-12-18
Business Address
ISMARIE RIVERA- MCLAT
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
ISMARIE RIVERA- MCLAT
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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