KIMOTHY SPARKS

GALLUP, NM
NPI1073975033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NM  RN-72248)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- KIMOTHY SPARKS RN, JD
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1533
Mailing Address
-- KIMOTHY SPARKS RN, JD
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1533
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