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1730398546
JOHN KENNY ELLISON
ALBUQUERQUE, NM
NPI
1730398546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: NM R21266)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. JOHN KENNY ELLISON RN
12516 CRESTLINE AVE NE
ALBUQUERQUE, NM 87112-3616
Phone number: 505-323-9170
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Mailing Address
Mr. JOHN KENNY ELLISON RN
12516 CRESTLINE AVE NE
ALBUQUERQUE, NM 87112-3616
Phone number: 505-323-9170
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