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1760662803
MARYANN MARILYN SAM
GALLUP, NM
NPI
1760662803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WX0003X Registered Nurse, Obstetric, Inpatient
(Licence: NM R31340)
Enumeration Date
2007-11-06
Last Update Date
2007-11-06
Business Address
Ms. MARYANN MARILYN SAM RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Ms. MARYANN MARILYN SAM RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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