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1487371910
KIMBERLY PRIDGEN
GALLUP, NM
NPI
1487371910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 695381)
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
KIMBERLY PRIDGEN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
KIMBERLY PRIDGEN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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