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1861147621
IRINA GORSHKOVA
GALLUP, NM
NPI
1861147621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2022-0114)
Enumeration Date
2022-02-19
Last Update Date
2022-12-06
Business Address
IRINA GORSHKOVA
517 E NIZHONI BLVD
GALLUP, NM 87301-5757
Phone number: 505-722-6603
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Mailing Address
IRINA GORSHKOVA
517 E NIZHONI BLVD
GALLUP, NM 87301-5757
Phone number: 505-722-6603
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