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1811572357
SAM TRUJILLO
GALLUP, NM
NPI
1811572357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: NM RN-82094)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
SAM TRUJILLO
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
SAM TRUJILLO
723 WINIFRED ST
BAYARD, NM 88023-9730
Phone number:
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