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1992245583
DAVID COLLOM
GALLUP, NM
NPI
1992245583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9242259)
Enumeration Date
2017-03-01
Last Update Date
2017-03-01
Business Address
-- DAVID COLLOM
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- DAVID COLLOM
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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