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1003183187
KIMBERLEY B. OLDEWAGE
RIO RANCHO, NM
NPI
1003183187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2011-0041)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
-- KIMBERLEY B. OLDEWAGE PA-C
1350 JACKIE ROAD STE 101 WESTSIDE FAMILY MEDICINE
RIO RANCHO, NM 87124-1519
Phone number: 505-892-7518
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Mailing Address
-- KIMBERLEY B. OLDEWAGE PA-C
1350 JACKIE ROAD STE 101 WESTSIDE FAMILY MEDICINE
RIO RANCHO, NM 87124-1519
Phone number: 505-892-7518
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