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1760788012
DIANA D CHAVEZ
GALLUP, NM
NPI
1760788012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R41042)
Enumeration Date
2011-02-03
Last Update Date
2011-02-03
Business Address
-- DIANA D CHAVEZ RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- DIANA D CHAVEZ RN
PO BOX 1177
GALLUP, NM 87305-1177
Phone number: 505-722-6188
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