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1851645980
ALLEN JAMES GOLIGHTLY
GALLUP, NM
NPI
1851645980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-036687)
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
Mr. ALLEN JAMES GOLIGHTLY RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
Mr. ALLEN JAMES GOLIGHTLY RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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