MARK WILSON

GALLUP, NM
NPI1902091937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP2201X Registered Nurse, Ambulatory Care
(Licence: NM  R41887)
Enumeration Date2007-09-12
Last Update Date2007-09-12
Business Address
-- MARK WILSON
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- MARK WILSON
PO BOX 1337
GALLUP, NM 87305-1337
Phone number:
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