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1962985218
GARY SHORT
GALLUP, NM
NPI
1962985218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse Medical-Surgical
(Licence: SC 101022)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
GARY SHORT
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
GARY SHORT
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Copy
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