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1821500414
THOMAS BAILEY ROUNTREE
GALLUP, NM
NPI
1821500414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MT 104614)
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
THOMAS BAILEY ROUNTREE RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
THOMAS BAILEY ROUNTREE RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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