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1821541780
TRENTON LEWIS
GALLUP, NM
NPI
1821541780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM RN-84204)
Enumeration Date
2016-07-27
Last Update Date
2016-07-27
Business Address
Mr. TRENTON LEWIS
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Mr. TRENTON LEWIS
PO BOX 1337
GALLUP, NM 87305-1337
Phone number:
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