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1972024057
BEAULAH VAZ
GALLUP, NM
NPI
1972024057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM DO2022-0051)
Enumeration Date
2017-06-29
Last Update Date
2023-05-25
Business Address
Dr. BEAULAH VAZ DO
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Dr. BEAULAH VAZ DO
PO BOX 1337
GALLUP, NM 87305-1337
Phone number:
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