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1699048603
KIMBERLY K TOM
GALLUP, NM
NPI
1699048603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM RN-74674)
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
-- KIMBERLY K TOM RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- KIMBERLY K TOM RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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