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1780201616
JOHN NELSON
GALLUP, NM
NPI
1780201616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 876564)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
JOHN NELSON
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
JOHN NELSON
648 MUSKOGEE BND
NEW BRAUNFELS, TX 78132-5008
Phone number: 512-828-9208
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