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1982233193
WILLIAM JOHN MCNICHOLAS
GALLUP, NM
NPI
1982233193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R37517)
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
WILLIAM JOHN MCNICHOLAS
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
WILLIAM JOHN MCNICHOLAS
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number:
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