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1851890123
LISA S MACBLANE
GALLUP, NM
NPI
1851890123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: IL 041.334460)
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
LISA S MACBLANE RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LISA S MACBLANE RN
10 HUNTER DR
MONTGOMERY, IL 60538-2057
Phone number:
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