CASEY WILDER

GALLUP, NM
NPI1962023200
Former NameCASEY SULLIVAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: TX  930837)
Enumeration Date2020-04-28
Last Update Date2020-04-28
Business Address
CASEY WILDER RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
CASEY WILDER RN
507 FARLEY ST
WAXAHACHIE, TX 75165-2752
Phone number: 214-632-4061
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