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1912454190
LACY KERR
GALLUP, NM
NPI
1912454190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-133946)
Enumeration Date
2016-09-06
Last Update Date
2016-09-06
Business Address
LACY KERR RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
LACY KERR RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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