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1952867962
RICHARD PAMBALAN
GALLUP, NM
NPI
1952867962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: NM 80311)
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
RICHARD PAMBALAN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
RICHARD PAMBALAN
6331 FOXLYN AVE
LAS VEGAS, NV 89122-0832
Phone number:
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