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1831063759
LISA MARIE NICHOLS
GALLUP, NM
NPI
1831063759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN148787)
Enumeration Date
2025-10-02
Last Update Date
2025-10-02
Business Address
LISA MARIE NICHOLS RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LISA MARIE NICHOLS RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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