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1912625914
LARISSA LOPEZ
GALLUP, NM
NPI
1912625914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: NM 80104)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
LARISSA LOPEZ RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LARISSA LOPEZ RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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