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1497532691
KIMBERLY BACOLOR GONZALES
LAS VEGAS, NV
NPI
1497532691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV 870538)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
KIMBERLY BACOLOR GONZALES
8291 PALLADIUM ST
LAS VEGAS, NV 89113-4133
Phone number: 702-521-7190
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Mailing Address
KIMBERLY BACOLOR GONZALES
8291 PALLADIUM ST
LAS VEGAS, NV 89113-4133
Phone number: 702-521-7190
Copy
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