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1861716177
JOSEPH BALLOW
GALLUP, NM
NPI
1861716177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 639245)
Enumeration Date
2010-03-16
Last Update Date
2010-03-16
Business Address
-- JOSEPH BALLOW RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1166
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Mailing Address
-- JOSEPH BALLOW RN
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1166
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