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1801395140
RANCE IRVIN
LOS LUNAS, NM
NPI
1801395140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM RN-79851)
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
RANCE IRVIN
119 LUNA ST SE
LOS LUNAS, NM 87031-6814
Phone number: 505-865-9636
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Mailing Address
RANCE IRVIN
10420 MANZANILLO AVE NE
ALBUQUERQUE, NM 87111-1725
Phone number:
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