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NPI Profile for EDUARDO M GONZALES JR in GALLUP, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1417215294 |
|
| Status | Active | |
| Credentials | CNP (Certified Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/30/2012 | |
| Last updated | 01/04/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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EDUARDO M GONZALES JR
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EDUARDO M GONZALES JR, CNP