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1831378884
REBA GROTEN
GALLUP, NM
NPI
1831378884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R31991)
Enumeration Date
2007-10-26
Last Update Date
2007-10-26
Business Address
-- REBA GROTEN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- REBA GROTEN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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