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Individual

IRENE GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1800
(505) 721-1899
Mailing address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1800
(505) 721-1899

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN23900
NM

Other

Enumeration date
09/10/2007
Last updated
03/01/2019
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