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1912497843
LEE ANN GOODLUCK
GALLUP, NM
NPI
1912497843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: NM RN77388)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
LEE ANN GOODLUCK
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LEE ANN GOODLUCK
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-979-2697
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