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1780068536
CORLISS DIXON
GALLUP, NM
NPI
1780068536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 195856)
Enumeration Date
2015-07-10
Last Update Date
2015-07-10
Business Address
-- CORLISS DIXON
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- CORLISS DIXON
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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