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1215375951
TIMOTHY MARK CANDELARIA
SANTA FE, NM
NPI
1215375951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM R53366)
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
-- TIMOTHY MARK CANDELARIA CRNA
1631 HOSPITAL DR
SANTA FE, NM 87505-4728
Phone number: 505-323-7200
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Mailing Address
-- TIMOTHY MARK CANDELARIA CRNA
1631 HOSPITAL DR
SANTA FE, NM 87505-4728
Phone number: 505-983-3275
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