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1891943585
SEAN MCTAVISH
FARMINGTON, NM
NPI
1891943585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WR0006X Registered Nurse Registered Nurse First Assistant
(Licence: NM R43132)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
SEAN MCTAVISH RNFA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-2000
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Mailing Address
SEAN MCTAVISH RNFA
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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